Nolen, Brandi
Nolen, Brandi is an individual health care provider with primary practice located at 1615 Martin Luther King Blvd. , Malvern AR 72104. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Nolen, Brandi can be contacted via phone (501) 332-7484.Contact Information
Primary practice address
1615 Martin Luther King Blvd.
Malvern AR 72104
Phone: (501) 332-7484
Fax: (501) 620-5231
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1912060773 |
---|---|
LBN Legal business name | Nolen, Brandi |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2006 |
Last updated | Dec 17th, 2008 - about 16 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 | 1912060773 | NPPES |
Arkansas | MEDICAID | 116399726 |
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