Mcnabb, Eleasah

Mcnabb, Eleasah is an individual health care provider with primary practice located at 1301 Russell Road , Russellville AR 72801. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mcnabb, Eleasah can be contacted via phone (479) 967-2322.

Contact Information

Primary practice address
1301 Russell Road Russellville AR 72801
Phone: (479) 967-2322
Fax: (479) 967-2876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 2769 Arkansas

Profile Details

NPI number 1205954088
LBN Legal business name Mcnabb, Eleasah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Apr 9th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205954088 NPPES
Arkansas MEDICAID 155115721

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