Whitley, Mildred R
Whitley, Mildred R is an sole proprietor health care provider with primary practice located at 11517 Kanis Rd , Little Rock AR 72211-3724. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Whitley, Mildred R can be contacted via phone (501) 993-8707.Contact Information
Primary practice address
11517 Kanis Rd
Little Rock AR 72211-3724
Phone: (501) 993-8707
Fax: (501) 223-8075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | PT 2087 | Arkansas |
Profile Details
| NPI number | 1700042793 |
|---|---|
| LBN Legal business name | Whitley, Mildred R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2008 |
| Last updated | Jul 30th, 2008 - about 17 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 | 1700042793 | NPPES |
| Arkansas | MEDICAID | 168152721 |
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