Back, Richard D
Back, Richard D is an individual health care provider with primary practice located at 1706 E Joyce Blvd Suite 3, Fayetteville AR 72703-5238. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Back, Richard D can be contacted via phone (479) 442-9381.Contact Information
Primary practice address
1706 E Joyce Blvd Suite 3
Fayetteville AR 72703-5238
Phone: (479) 442-9381
Fax: (479) 442-9396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 78-18 P | Arkansas |
Profile Details
| NPI number | 1528082096 |
|---|---|
| LBN Legal business name | Back, Richard D |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | May 14th, 2008 - 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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