Van Kirk, Donna M
Van Kirk, Donna M is an sole proprietor health care provider with primary practice located at 204 N East Ave , Fayetteville AR 72701-5225. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Van Kirk, Donna M can be contacted via phone (479) 466-9609.Contact Information
Primary practice address
204 N East Ave
Fayetteville AR 72701-5225
Phone: (479) 466-9609
Fax: (479) 431-4948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 8210P | Arkansas |
Profile Details
| NPI number | 1235167578 |
|---|---|
| LBN Legal business name | Van Kirk, Donna M |
| Credentials | EDD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Nov 27th, 2019 - about 7 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 | 1235167578 | NPPES |
| Arkansas | MEDICAID | 116603719 |
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