Brown, Debra
Brown, Debra is an sole proprietor health care provider with primary practice located at 418 S 18Th St , Fort Smith AR 72901-3942. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Brown, Debra can be contacted via phone (479) 782-7775.Contact Information
Primary practice address
418 S 18Th St
Fort Smith AR 72901-3942
Phone: (479) 782-7775
Fax: (479) 782-7795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P0603018 | Arkansas |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | AR 86 3-E | Arkansas |
Profile Details
| NPI number | 1487661815 |
|---|---|
| LBN Legal business name | Brown, Debra |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1487661815 | NPPES |
| Arkansas | Other | 5T076 | BLUE CROSS BLUE SHIELD |
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