Mccain, Chassity Ann
Mccain, Chassity Ann is an sole proprietor health care provider with primary practice located at 824 Salem Rd Suite 220, Conway AR 72034-4821. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Mccain, Chassity Ann can be contacted via phone (501) 932-0055.Contact Information
Primary practice address
824 Salem Rd Suite 220
Conway AR 72034-4821
Phone: (501) 932-0055
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | OTA716 | Arkansas |
Profile Details
NPI number | 1497189948 |
---|---|
LBN Legal business name | Mccain, Chassity Ann |
Credentials | COTA/L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 1st, 2013 |
Last updated | Sep 1st, 2013 - about 12 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 | 1497189948 | NPPES |
Arkansas | MEDICAID | 197940721 |
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