Granderson, Christina Gail

Granderson, Christina Gail is an individual health care provider with primary practice located at 710 Holly St , Siloam Springs AR 72761. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Granderson, Christina Gail can be contacted via phone (479) 464-5925.

Contact Information

Primary practice address
710 Holly St Siloam Springs AR 72761
Phone: (479) 464-5925
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Arkansas

Profile Details

NPI number 1164641445
LBN Legal business name Granderson, Christina Gail
Credentials MHPP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jun 14th, 2011 - about 13 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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