Marvin, Julie Renee
Marvin, Julie Renee is an individual health care provider with primary practice located at 1760 N Woodland Ave , Fayetteville AR 72703-2549. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Marvin, Julie Renee can be contacted via phone (479) 443-4420.Contact Information
Primary practice address
1760 N Woodland Ave
Fayetteville AR 72703-2549
Phone: (479) 443-4420
Fax: (479) 443-0547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OTR1619 | Arkansas |
| Other Service Providers / Specialist | 174400000X | NBCOT 1049924 | Arkansas |
Profile Details
| NPI number | 1477503639 |
|---|---|
| LBN Legal business name | Marvin, Julie Renee |
| Credentials | OCCUPATIONAL THERAPY |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477503639 | NPPES |
| Arkansas | Other | 5W513 | BCBS PROVIDER # |
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