National Provider Identifier Database

BRICK CITY HEALTH AND WELLNESS CLINIC PLLC
Family


Contact Information

BRICK CITY HEALTH AND WELLNESS CLINIC PLLC
1604 MARTIN LUTHER KING BLVD
MALVERN, AR72104
Phone: 501-732-5400
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for BRICK CITY HEALTH AND WELLNESS CLINIC PLLC

NPI Number 1558143701
Legal business name
LBN
BRICK CITY HEALTH AND WELLNESS CLINIC PLLC
Authorized official RACHEL SCRIMSHIRE - (APRN)
Entity Organization
Organization subpart No
Enumeration date 10/20/2023
Last updated 10/20/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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