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:
Health care specialties
Specialty | Code | License # | 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 13 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 | 1699045781 | NPPES |
Arkansas | MEDICAID | 186801795 |
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