Craine, Brooke Runyan
Craine, Brooke Runyan is an individual health care provider with primary practice located at 2917 King St Suite A, Jonesboro AR 72401-5322. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Craine, Brooke Runyan can be contacted via phone (870) 974-9114.Contact Information
Primary practice address
2917 King St Suite A
Jonesboro AR 72401-5322
Phone: (870) 974-9114
Fax: (870) 974-9184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 2307 | Arkansas |
Profile Details
| NPI number | 1710939368 |
|---|---|
| LBN Legal business name | Craine, Brooke Runyan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 9th, 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 | 1710939368 | NPPES |
| Arkansas | Other | 5U408 | BLUE CROSS BLUE SHIELD # |
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