Neidecker, Kassidy
Neidecker, Kassidy is an sole proprietor health care provider with primary practice located at 602 David St , Corning AR 72422-7268. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Neidecker, Kassidy can be contacted via phone (870) 857-3655.Contact Information
Primary practice address
602 David St
Corning AR 72422-7268
Phone: (870) 857-3655
Fax: (870) 857-3667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Arkansas |
Profile Details
| NPI number | 1942737861 |
|---|---|
| LBN Legal business name | Neidecker, Kassidy |
| Credentials | QBHP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2017 |
| Last updated | Jul 11th, 2019 - about 6 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 | 1942737861 | NPPES |
| Arkansas | MEDICAID | 128707526 |
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