Runnells, Debra Shaleen

Runnells, Debra Shaleen is an sole proprietor health care provider with primary practice located at 5214 O St , Little Rock AR 72207-5325. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Runnells, Debra Shaleen can be contacted via phone (501) 477-4700.

Contact Information

Primary practice address
5214 O St Little Rock AR 72207-5325
Fax:
Website:

Profile Details

NPI number 1245535723
LBN Legal business name Runnells, Debra Shaleen
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2011
Last updated Feb 4th, 2022 - about 3 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 1245535723 NPPES
Arkansas MEDICAID 139168721

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