Cravens, Deidre Leigh
Cravens, Deidre Leigh is an sole proprietor health care provider with primary practice located at 4540 John F Kennedy Blvd , North Little Rock AR 72116-7309. 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. Cravens, Deidre Leigh can be contacted via phone (501) 758-5555.Contact Information
Primary practice address
4540 John F Kennedy Blvd
North Little Rock AR 72116-7309
Phone: (501) 758-5555
Fax: (501) 758-5941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1750 | Arkansas |
Profile Details
| NPI number | 1003802224 |
|---|---|
| LBN Legal business name | Cravens, Deidre Leigh |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | May 21st, 2014 - about 11 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 | 1003802224 | NPPES |
| Arkansas | MEDICAID | 130498721 |
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