Bass Mccorkle, Kimberly
Bass Mccorkle, Kimberly is an sole proprietor health care provider with primary practice located at 2002 Lostwood , Texarkana AR 71854-8194. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bass Mccorkle, Kimberly can be contacted via phone (870) 403-1318.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR 2367 | Arkansas |
Profile Details
| NPI number | 1093011587 |
|---|---|
| LBN Legal business name | Bass Mccorkle, Kimberly |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2011 |
| Last updated | Feb 13th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093011587 | NPPES |
| Arkansas | MEDICAID | 184312721 |
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