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Contact Information

FELICIA R BUMBALOUGH, LLM
1988 HOG FARM RD
TILLY, AR72679-9731
 Phone: 870-504-3124
 Fax: 936-228-9586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife, Lay

175M00000X
Indicates primary specialty

NPI Profile & details for FELICIA R BUMBALOUGH · (Female)

NPI Number 1497402564
Status Active
Credentials LLM
Entity Individual
Enumeration date 03/08/2022
Last updated 03/08/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 012022
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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