Austin, Mary K

Austin, Mary K is an individual health care provider with primary practice located at 1600 Riverfront Dr , Little Rock AR 72202. 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. Austin, Mary K can be contacted via phone (501) 663-6965.

Contact Information

Primary practice address
1600 Riverfront Dr Little Rock AR 72202
Phone: (501) 663-6965
Fax: (501) 603-0675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 814 Arkansas

Profile Details

NPI number 1053560664
LBN Legal business name Austin, Mary K
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2008
Last updated Dec 12th, 2011 - 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 1053560664 NPPES
Arkansas MEDICAID 116100721

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