Bohanon, Rhonda

Bohanon, Rhonda is an individual health care provider with primary practice located at 703 Calvin Avery Dr Suite A, West Memphis AR 72301-6501. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bohanon, Rhonda can be contacted via phone (870) 732-1878.

Contact Information

Primary practice address
703 Calvin Avery Dr Suite A West Memphis AR 72301-6501
Phone: (870) 732-1878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1699045781
LBN Legal business name Bohanon, Rhonda
Credentials PLMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2012
Last updated Jan 5th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699045781 NPPES
Arkansas MEDICAID 186801795

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