Edington, Charles Jeffrey

Edington, Charles Jeffrey is an individual health care provider with primary practice located at 18 County Road 458 , Mountain Home AR 72653-8212. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Edington, Charles Jeffrey can be contacted via phone (870) 425-5252.

Contact Information

Primary practice address
18 County Road 458 Mountain Home AR 72653-8212
Phone: (870) 425-5252
Fax: (870) 425-5254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR1611 Arkansas

Profile Details

NPI number 1609926229
LBN Legal business name Edington, Charles Jeffrey
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jan 21st, 2021 - about 4 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 1609926229 NPPES
Arkansas MEDICAID 142156721

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