Fortenberry, Krista
Fortenberry, Krista is an individual health care provider with primary practice located at 2515 Rosa St , Batesville AR 72501-7764. 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. Fortenberry, Krista can be contacted via phone (870) 612-8536.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1609900448 |
|---|---|
| LBN Legal business name | Fortenberry, Krista |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Sep 3rd, 2009 - about 17 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 | 1609900448 | NPPES |
| Arkansas | MEDICAID | 141523721 |
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