White, Jacob Matthew
White, Jacob Matthew is an sole proprietor health care provider with primary practice located at 213 W Monroe Ave Suite Q, Lowell AR 72745-9451. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. White, Jacob Matthew can be contacted via phone (479) 320-7100.Contact Information
Primary practice address
213 W Monroe Ave Suite Q
Lowell AR 72745-9451
Phone: (479) 320-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P1503018 | Arkansas |
Profile Details
| NPI number | 1073909719 |
|---|---|
| LBN Legal business name | White, Jacob Matthew |
| Credentials | MS LPC NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2015 |
| Last updated | Apr 9th, 2015 - about 11 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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