Wilson, Brandi
Wilson, Brandi is an sole proprietor health care provider with primary practice located at 112 South 5Th St. , Herber Springs AR 72543-3816. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wilson, Brandi can be contacted via phone (501) 547-9994.Contact Information
Primary practice address
112 South 5Th St.
Herber Springs AR 72543-3816
Phone: (501) 547-9994
Fax: (888) 898-8972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP#2056 | Arkansas |
Profile Details
| NPI number | 1295974442 |
|---|---|
| LBN Legal business name | Wilson, Brandi |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2009 |
| Last updated | Oct 6th, 2020 - about 6 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 | 1295974442 | NPPES |
| Arkansas | MEDICAID | 175067721 |
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