Boll, Abbie Alice

Boll, Abbie Alice is an sole proprietor health care provider with primary practice located at 272 School Ave , West Fork AR 72774-3124. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Boll, Abbie Alice can be contacted via phone (479) 839-3349.

Contact Information

Primary practice address
272 School Ave West Fork AR 72774-3124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X P8269 Arkansas

Profile Details

NPI number 1134459522
LBN Legal business name Boll, Abbie Alice
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2010
Last updated Feb 2nd, 2023 - about 2 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 1134459522 NPPES
Arkansas MEDICAID 184101721

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