Spray, Jr, Robert L.
Spray, Jr, Robert L. is an sole proprietor health care provider with primary practice located at 3104 S 70Th St Suite #103, Fort Smith AR 72903-5018. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Spray, Jr, Robert L. can be contacted via phone (479) 452-1658.Contact Information
Primary practice address
3104 S 70Th St Suite #103
Fort Smith AR 72903-5018
Phone: (479) 452-1658
Fax: (479) 452-3865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 75-18P | Arkansas |
Profile Details
| NPI number | 1245314574 |
|---|---|
| LBN Legal business name | Spray, Jr, Robert L. |
| Credentials | PHD PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Mar 14th, 2011 - about 15 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 | 1245314574 | NPPES |
| Arkansas | Other | 56447 | BLUE CROSS BLUE SHIELD |
| Arkansas | MEDICAID | 105861719 | BLUE CROSS BLUE SHIELD |
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