Freshour, Penny
Freshour, Penny is an sole proprietor health care provider with primary practice located at 900 S Bowman Rd , Little Rock AR 72211-3617. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Freshour, Penny can be contacted via phone (501) 904-5009.Contact Information
Primary practice address
900 S Bowman Rd
Little Rock AR 72211-3617
Phone: (501) 904-5009
Fax: (501) 217-8679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | AR2483 | Arkansas |
Profile Details
| NPI number | 1518016435 |
|---|---|
| LBN Legal business name | Freshour, Penny |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Nov 7th, 2018 - about 8 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 | 1518016435 | NPPES |
| Arkansas | Other | 19983000040 | QUALCHOICE |
| Arkansas | Other | P00273197 | QUALCHOICE |
| Arkansas | MEDICAID | 135365722 | QUALCHOICE |
| Arkansas | Other | AR2483 | QUALCHOICE |
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