Johnson, Chiquita

Johnson, Chiquita is an individual health care provider with primary practice located at 2500 Rike Dr , Pine Bluff AR 71603-3937. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Chiquita can be contacted via phone (870) 534-1834.

Contact Information

Primary practice address
2500 Rike Dr Pine Bluff AR 71603-3937
Fax: (870) 534-5798
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1356614788
LBN Legal business name Johnson, Chiquita
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2012
Last updated Mar 22nd, 2013 - about 13 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 1356614788 NPPES
Arkansas MEDICAID 116378726

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