Gilbreath, Austin

Gilbreath, Austin is an sole proprietor health care provider with primary practice located at 970D Ash Flat Dr , Ash Flat AR 72513-9533. He recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as his primary health care specialty. Gilbreath, Austin can be contacted via phone (870) 994-7377.

Contact Information

Primary practice address
970D Ash Flat Dr Ash Flat AR 72513-9533
Fax: (870) 994-7399
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X AR01531 Arkansas

Profile Details

NPI number 1104484971
LBN Legal business name Gilbreath, Austin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2019
Last updated Jun 5th, 2019 - about 5 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 1104484971 NPPES
Arkansas MEDICAID 100176407

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