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Contact Information

ANITA K BRACKIN
440 ROSEMARY LN
BLYTHEVILLE, AR72315-1738
 Phone: 870-623-6222
 Fax: 870-763-1202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Attendant Care Provider

3747A0650X
Indicates primary specialty

NPI Profile & details for ANITA K BRACKIN · (Female)

NPI Number 1306020128
Status Active
Credentials
Entity Individual
Enumeration date 12/28/2007
Last updated 12/28/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 164582782783
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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