Dial, Holly E

Dial, Holly E is an individual health care provider with primary practice located at 2500 Rike Dr , Pine Bluff AR 71603-3937. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dial, Holly E can be contacted via phone (870) 534-1834.

Contact Information

Primary practice address
2500 Rike Dr Pine Bluff AR 71603-3937
Fax: (870) 534-5798
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X L057904 Arkansas

Profile Details

NPI number 1417461989
LBN Legal business name Dial, Holly E
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2017
Last updated Nov 20th, 2017 - about 7 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 1417461989 NPPES
Arkansas MEDICAID 116378726

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