Evans, Brooks Shepherd
Evans, Brooks Shepherd is an sole proprietor health care provider with primary practice located at 111 Hollywood Ave , Hot Springs AR 71901-7058. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Evans, Brooks Shepherd can be contacted via phone (501) 321-2700.Contact Information
Primary practice address
111 Hollywood Ave
Hot Springs AR 71901-7058
Phone: (501) 321-2700
Fax: (501) 321-2701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT2801 | Arkansas |
Profile Details
| NPI number | 1740247642 |
|---|---|
| LBN Legal business name | Evans, Brooks Shepherd |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Aug 27th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740247642 | NPPES |
| Arkansas | MEDICAID | 155606721 | |
| Arkansas | Other | 5Y229 |
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