Holman, Rebecca M
Holman, Rebecca M is an sole proprietor health care provider with primary practice located at 2707 Browns Ln , Jonesboro AR 72401-7213. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Holman, Rebecca M can be contacted via phone (870) 972-4961.Contact Information
Primary practice address
2707 Browns Ln
Jonesboro AR 72401-7213
Phone: (870) 972-4961
Fax: (870) 972-4088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2005039215 | Missouri |
Profile Details
| NPI number | 1669519070 |
|---|---|
| LBN Legal business name | Holman, Rebecca M |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Sep 9th, 2015 - about 9 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 | 1669519070 | NPPES |
| Missouri | MEDICAID | 490728003 |
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