Mahoney, Brian E

Mahoney, Brian E is an sole proprietor health care provider with primary practice located at 8907 Kanis Road Ste. 400, Little Rock AR 72205. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mahoney, Brian E can be contacted via phone (501) 663-4320.

Contact Information

Primary practice address
8907 Kanis Road Ste. 400 Little Rock AR 72205
Phone: (501) 663-4320
Fax: (501) 978-1452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT 227 Arkansas

Profile Details

NPI number 1427261114
LBN Legal business name Mahoney, Brian E
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1427261114 NPPES
Arkansas Other AT 227 ATHLETIC TRAINING LIC.

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