Jackson-Earls, Thel Latitia

Jackson-Earls, Thel Latitia is an individual health care provider with primary practice located at 1507 Pecan Street , Newport AR 72112-0571. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jackson-Earls, Thel Latitia can be contacted via phone (870) 523-3643.

Contact Information

Primary practice address
1507 Pecan Street Newport AR 72112-0571
Phone: (870) 523-3643
Fax: (870) 523-8224
Website:
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Health care specialties

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

Profile Details

NPI number 1790821510
LBN Legal business name Jackson-Earls, Thel Latitia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
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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