Welch-Beardsley, Jasmine R

Welch-Beardsley, Jasmine R is an sole proprietor health care provider with primary practice located at 6836 Issacs Orchard Rd , Springdale AR 72762-6096. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Welch-Beardsley, Jasmine R can be contacted via phone (479) 927-4100.

Contact Information

Primary practice address
6836 Issacs Orchard Rd Springdale AR 72762-6096
Fax: (479) 927-4101
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-34392 Arkansas

Profile Details

NPI number 1164071049
LBN Legal business name Welch-Beardsley, Jasmine R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2019
Last updated Sep 4th, 2019 - about 7 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 1164071049 NPPES
Arkansas MEDICAID 210225706

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