Church, Janice
Church, Janice is an individual health care provider with primary practice located at 11 Childrens Way # 401 , Little Rock AR 72202-3500. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Church, Janice can be contacted via phone (501) 364-3810.Contact Information
Primary practice address
11 Childrens Way # 401
Little Rock AR 72202-3500
Phone: (501) 364-3810
Fax: (501) 364-3416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 92-1P | Arkansas |
Profile Details
| NPI number | 1295825859 |
|---|---|
| LBN Legal business name | Church, Janice |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jan 7th, 2011 - 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 | 1295825859 | NPPES |
| Arkansas | MEDICAID | 141633001 |
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