Wheeler, Lynette Booth
Wheeler, Lynette Booth is an sole proprietor health care provider with primary practice located at 2474 E Joyce Blvd , Fayetteville AR 72703-4519. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Wheeler, Lynette Booth can be contacted via phone (479) 521-8326.Contact Information
Primary practice address
2474 E Joyce Blvd
Fayetteville AR 72703-4519
Phone: (479) 521-8326
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR1083 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1235262700 |
|---|---|
| LBN Legal business name | Wheeler, Lynette Booth |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | May 15th, 2024 - about 7 months 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 | 1235262700 | NPPES |
| Arkansas | MEDICAID | 136256721 | |
| Arkansas | Other | 5Y909 |
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