King, Marc C

King, Marc C is an sole proprietor health care provider with primary practice located at 2707 Browns Ln , Jonesboro AR 72401-7213. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. King, Marc C can be contacted via phone (870) 972-4939.

Contact Information

Primary practice address
2707 Browns Ln Jonesboro AR 72401-7213
Phone: (870) 972-4939
Fax: (870) 972-4911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X M8249 Mississippi
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW0000009067 Tennessee
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1982751574
LBN Legal business name King, Marc C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Feb 28th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982751574 NPPES
Mississippi Other YAQ 868404380M BLUECROSS BLUESHIELD
Mississippi Other 770099 BLUECROSS BLUESHIELD

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