Ninemire, Venita Lynne

Ninemire, Venita Lynne is an sole proprietor health care provider with primary practice located at 673 North Main St , Salem AR 72576. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ninemire, Venita Lynne can be contacted via phone (870) 895-2152.

Contact Information

Primary practice address
673 North Main St Salem AR 72576
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A005438 Arkansas

Profile Details

NPI number 1518475466
LBN Legal business name Ninemire, Venita Lynne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2018
Last updated Jan 12th, 2018 - about 7 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 1518475466 NPPES
Arkansas Other A005438 LICENSE

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