Gatlin, Anna

Gatlin, Anna is an individual health care provider with primary practice located at 4508 Stadium Blvd , Jonesboro AR 72404-9675. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gatlin, Anna can be contacted via phone (870) 933-6886.

Contact Information

Primary practice address
4508 Stadium Blvd Jonesboro AR 72404-9675
Fax: (870) 933-9395
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1023056413
LBN Legal business name Gatlin, Anna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1023056413 NPPES
Arkansas Other 5X871 BLUE CROSS AND MEDICARE #

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