Jacuzzi, Lea Shannon
Jacuzzi, Lea Shannon is an individual health care provider with primary practice located at 9601 Interstate 630 Exit 7 , Little Rock AR 72205-7202. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jacuzzi, Lea Shannon can be contacted via phone (501) 202-7614.Contact Information
Primary practice address
9601 Interstate 630 Exit 7
Little Rock AR 72205-7202
Phone: (501) 202-7614
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT 2684 | Arkansas |
Profile Details
| NPI number | 1649446279 |
|---|---|
| LBN Legal business name | Jacuzzi, Lea Shannon |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2008 |
| Last updated | May 4th, 2008 - 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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