Marvin, Jennifer

Marvin, Jennifer is an sole proprietor health care provider with primary practice located at 4901 N Shore Dr , North Little Rock AR 72118-5293. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Marvin, Jennifer can be contacted via phone (501) 791-3331.

Contact Information

Primary practice address
4901 N Shore Dr North Little Rock AR 72118-5293
Phone: (501) 791-3331
Fax: (501) 791-0294
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR1755 Arkansas

Profile Details

NPI number 1295890085
LBN Legal business name Marvin, Jennifer
Credentials OCCUPATIONAL THERAPI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295890085 NPPES
Arkansas Other 5X486 BLUE CROSS BLUE SHIELD

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