Evans, Mander Heath
Evans, Mander Heath is an individual health care provider with primary practice located at 2126 N 1St St Ste F , Jacksonville AR 72076-2868. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Evans, Mander Heath can be contacted via phone (501) 982-5000.Contact Information
Primary practice address
2126 N 1St St Ste F
Jacksonville AR 72076-2868
Phone: (501) 982-5000
Fax: (501) 982-5007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 8065-M | Arkansas |
Profile Details
| NPI number | 1437462348 |
|---|---|
| LBN Legal business name | Evans, Mander Heath |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2010 |
| Last updated | May 14th, 2018 - about 6 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 | 1437462348 | NPPES |
| Arkansas | MEDICAID | 197380795 |
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