Hester, Samuel Broud
Hester, Samuel Broud is an sole proprietor health care provider with primary practice located at 260 Southwest Dr , Jonesboro AR 72401-5829. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Hester, Samuel Broud can be contacted via phone (870) 932-1707.Contact Information
Primary practice address
260 Southwest Dr
Jonesboro AR 72401-5829
Phone: (870) 932-1707
Fax: (870) 932-1707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 81-4P | Arkansas |
Profile Details
| NPI number | 1649293754 |
|---|---|
| LBN Legal business name | Hester, Samuel Broud |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1649293754 | NPPES |
| Arkansas | Other | 56233 | BC/BS # |
| Arkansas | Other | 81-4P | BC/BS # |
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