Stevens, Richard Dale
Stevens, Richard Dale is an individual health care provider with primary practice located at 2010 Active Way , Benton AR 72019-0000. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stevens, Richard Dale can be contacted via phone (501) 315-0984.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 288 | Arkansas |
Profile Details
NPI number | 1073596086 |
---|---|
LBN Legal business name | Stevens, Richard Dale |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 23rd, 2005 |
Last updated | Oct 4th, 2012 - about 13 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 | 1073596086 | NPPES |
Arkansas | MEDICAID | 126920721 |
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