Deuter, Gina Renea

Deuter, Gina Renea 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 Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Deuter, Gina Renea 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:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#1713 Arkansas

Profile Details

NPI number 1508816760
LBN Legal business name Deuter, Gina Renea
Credentials MCD CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Nov 19th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508816760 NPPES
Arkansas MEDICAID 139117721
Arkansas Other 5U700

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