Ephlin, Malissa

Ephlin, Malissa is an individual health care provider with primary practice located at 1487 W Keiser Ave , Osceola AR 72370-2806. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Ephlin, Malissa can be contacted via phone (870) 563-4500.

Contact Information

Primary practice address
1487 W Keiser Ave Osceola AR 72370-2806
Phone: (870) 563-4500
Fax: (870) 563-4501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1700242211
LBN Legal business name Ephlin, Malissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2016
Last updated Jan 13th, 2016 - 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 1700242211 NPPES
Arkansas MEDICAID 154356726

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