Yetley, Amy Carol

Yetley, Amy Carol is an sole proprietor health care provider with primary practice located at 8 Van Lee Dr , Little Rock AR 72205-2452. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Yetley, Amy Carol can be contacted via phone (501) 324-9522.

Contact Information

Primary practice address
8 Van Lee Dr Little Rock AR 72205-2452
Fax:
Website:

Profile Details

NPI number 1194215350
LBN Legal business name Yetley, Amy Carol
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2018
Last updated May 14th, 2018 - about 8 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 1194215350 NPPES
Arkansas MEDICAID 716006449

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