Eide, Letishia Lyne

Eide, Letishia Lyne is an sole proprietor health care provider with primary practice located at 910 Dyer St , Malvern AR 72104-5253. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Eide, Letishia Lyne can be contacted via phone (501) 467-4445.

Contact Information

Primary practice address
910 Dyer St Malvern AR 72104-5253
Phone: (501) 467-4445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4697 Arkansas

Profile Details

NPI number 1669687430
LBN Legal business name Eide, Letishia Lyne
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 19 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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