Shourd, Catherine L
Shourd, Catherine L is an individual health care provider with primary practice located at 1700 South Blvd , Conway AR 72034-6455. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Shourd, Catherine L can be contacted via phone (501) 329-8102.Contact Information
Primary practice address
1700 South Blvd
Conway AR 72034-6455
Phone: (501) 329-8102
Fax: (501) 329-2113
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR1133 | Arkansas |
Profile Details
NPI number | 1306975578 |
---|---|
LBN Legal business name | Shourd, Catherine L |
Credentials | OTRL |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 5th, 2007 |
Last updated | Jul 9th, 2007 - about 17 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 | 1306975578 | NPPES |
Arkansas | Other | OTR1133 | STATE LICENSE NUMBER |
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