Branson, Gavin Douglas
Branson, Gavin Douglas is an individual health care provider with primary practice located at 8404 Baseline Rd , Little Rock AR 72209-4339. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Branson, Gavin Douglas can be contacted via phone (501) 663-0708.Contact Information
Primary practice address
8404 Baseline Rd
Little Rock AR 72209-4339
Phone: (501) 663-0708
Fax: (501) 313-4062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Arkansas |
Profile Details
| NPI number | 1851981989 |
|---|---|
| LBN Legal business name | Branson, Gavin Douglas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2021 |
| Last updated | Jan 22nd, 2021 - about 4 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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