Dibble, Sharon

Dibble, Sharon is an individual health care provider with primary practice located at 1310 Bradley Dr , Mountain Home AR 72653-2730. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Dibble, Sharon can be contacted via phone (870) 424-4021.

Contact Information

Primary practice address
1310 Bradley Dr Mountain Home AR 72653-2730
Phone: (870) 424-4021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1467810457
LBN Legal business name Dibble, Sharon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2016
Last updated Feb 4th, 2016 - about 10 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 1467810457 NPPES
Arkansas MEDICAID 210831795

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