Wells, Phyllis

Wells, Phyllis is an individual health care provider with primary practice located at 1400 East 16Th St , Russellville AR 72802. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wells, Phyllis can be contacted via phone (479) 967-5570.

Contact Information

Primary practice address
1400 East 16Th St Russellville AR 72802
Phone: (479) 967-5570
Fax: (479) 890-5364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1003945007
LBN Legal business name Wells, Phyllis
Credentials CASE MANAGER CASE CO
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 18 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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