Mckown, Marilyn Jean
Mckown, Marilyn Jean is an sole proprietor health care provider with primary practice located at 1310 W Main St Ste 100 , Russellville AR 72801-2803. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mckown, Marilyn Jean can be contacted via phone (479) 964-2011.Contact Information
Primary practice address
1310 W Main St Ste 100
Russellville AR 72801-2803
Phone: (479) 964-2011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P2402014 | Arkansas |
Profile Details
| NPI number | 1033367412 |
|---|---|
| LBN Legal business name | Mckown, Marilyn Jean |
| Credentials | MHPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2008 |
| Last updated | Mar 13th, 2024 - about 9 months 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 | 1033367412 | NPPES |
| Arkansas | MEDICAID | 173555795 |
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