Tibbs, Stephanie

Tibbs, Stephanie 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. Tibbs, Stephanie 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:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 1641 Arkansas

Profile Details

NPI number 1194999391
LBN Legal business name Tibbs, Stephanie
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2008
Last updated Apr 3rd, 2009 - about 15 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 1194999391 NPPES
Arkansas MEDICAID 175509795

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