Gambill, Tonya
Gambill, Tonya is an sole proprietor health care provider with primary practice located at 1301 Russell Rd , Russellville AR 72802-4320. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gambill, Tonya can be contacted via phone (479) 967-2316.Contact Information
Primary practice address
1301 Russell Rd
Russellville AR 72802-4320
Phone: (479) 967-2316
Fax: (479) 967-3639
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP# 2060 | Arkansas |
Profile Details
NPI number | 1285600619 |
---|---|
LBN Legal business name | Gambill, Tonya |
Credentials | M.S, CCC-SLP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 25th, 2006 |
Last updated | Jan 6th, 2023 - about last year |
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 | 1285600619 | NPPES |
Arkansas | Other | 5X955 | BLUE CROSS BLUE SHIELD # |
Arkansas | MEDICAID | 156650721 | BLUE CROSS BLUE SHIELD # |
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