Durham, Ella Beth

Durham, Ella Beth is an individual health care provider with primary practice located at 2930 E Moore Ave , Searcy AR 72143-4831. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is her primary health care specialty. Durham, Ella Beth can be contacted via phone (501) 368-0868.

Contact Information

Primary practice address
2930 E Moore Ave Searcy AR 72143-4831
Phone: (501) 368-0868
Fax: (501) 368-0003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1215097050
LBN Legal business name Durham, Ella Beth
Credentials CPO, C.PED
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Feb 18th, 2015 - about 9 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 1215097050 NPPES
Arkansas MEDICAID 457554716

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