Rabren, Mary Quin

Rabren, Mary Quin is an sole proprietor health care provider with primary practice located at 3162 M.L.K. Jr Blvd Ste 4 , Fayetteville AR 72704-4741. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Rabren, Mary Quin can be contacted via phone (479) 435-6636.

Contact Information

Primary practice address
3162 M.L.K. Jr Blvd Ste 4 Fayetteville AR 72704-4741
Phone: (479) 435-6636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 201556 Arkansas

Profile Details

NPI number 1194499608
LBN Legal business name Rabren, Mary Quin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2021
Last updated Jul 14th, 2023 - about 3 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 1194499608 NPPES
Arkansas MEDICAID 1194499608

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