Carr, Shirley M
Carr, Shirley M is an sole proprietor health care provider with primary practice located at 2312 Durwood Rd , Little Rock AR 72207-3431. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Carr, Shirley M can be contacted via phone (501) 313-5973.Contact Information
Primary practice address
2312 Durwood Rd
Little Rock AR 72207-3431
Phone: (501) 313-5973
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-18-70646 | Arkansas |
Profile Details
| NPI number | 1174095830 |
|---|---|
| LBN Legal business name | Carr, Shirley M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2018 |
| Last updated | Jun 11th, 2019 - about 6 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 | 1174095830 | NPPES |
| Arkansas | Other | 05091988 | BITTHDATE |
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