Nellums, Michael

Nellums, Michael is an individual health care provider with primary practice located at 620 S Laurel St , Pine Bluff AR 71601-4859. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Nellums, Michael can be contacted via phone (870) 534-4900.

Contact Information

Primary practice address
620 S Laurel St Pine Bluff AR 71601-4859
Phone: (870) 534-4900
Fax: (870) 534-4906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X L042487 Arkansas

Profile Details

NPI number 1134528581
LBN Legal business name Nellums, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2014
Last updated Jun 19th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134528581 NPPES
Arkansas MEDICAID 18006922326

Popular Providers