Chism, Corri Beth
Chism, Corri Beth is an individual health care provider with primary practice located at 1301 Russell Road , Russellville AR 72801. 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. Chism, Corri Beth can be contacted via phone (479) 967-2322.Contact Information
Primary practice address
1301 Russell Road
Russellville AR 72801
Phone: (479) 967-2322
Fax: (479) 967-2876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP#2452 | Arkansas |
Profile Details
| NPI number | 1215150719 |
|---|---|
| LBN Legal business name | Chism, Corri Beth |
| Credentials | CF SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Mar 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215150719 | NPPES |
| Other | A020 | TRICARE | |
| MEDICAID | SP4297 | TRICARE |
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