Sgoh Acquisition Inc in Gravette - Psychologist
Sgoh Acquisition Inc - NPI 1568643005
Sgoh Acquisition Inc is a Psychologist in Gravette, Arkansas. Sgoh Acquisition Inc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sgoh Acquisition Inc is 1568643005. The last update date is 2019-10-25.
Sgoh Acquisition Inc's current location address is 1101 Jackson St Sw, Gravette, Arkansas. You can contact this provider via phone number 4797875291 and fax number 4178329041. The mailing address for Sgoh Acquisition Inc is 1101 Jackson St Sw, Gravette, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sgoh Acquisition Inc |
|---|---|
| Address | 1101 Jackson St Sw, Gravette, Arkansas |
| Phone Number | 4797875291 |
| Fax Number | 4178329041 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Taylor Gregory Paul |
| Telephone Number | 4178374090 |
NPI Number Detail
| NPI Number | 1568643005 |
|---|---|
| Provider Enumeration Date | 2007-11-26 |
| Last Updated Date | 2019-10-25 |
Provider Mailing Address Detail
| Address | 1101 Jackson St Sw |
|---|---|
| City | Gravette |
| State | Arkansas (AR) |
| Post Code | 727369121 |
| Phone Number | 4797875291 |
| Fax Number | 4178329041 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | AR4517 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1568643005 | MO | -- | |
| 200200390A | OK | -- | |
| 168370105 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Sgoh Acquisition Inc by the Centers for Medicare & Medicaid Services?
The Sgoh Acquisition Inc has been assigned the NPI (National Provider Identifier) 1568643005. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sgoh Acquisition Inc's facilities are situated?
The facilities of Sgoh Acquisition Inc are physically located at the following address: 1101 Jackson St Sw, Gravette, AR, 727369121.
What is Sgoh Acquisition Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sgoh Acquisition Inc is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568643005 to Sgoh Acquisition Inc?
The Centers for Medicare & Medicaid Services assigned the 1568643005 to Sgoh Acquisition Inc on 2007-11-26.
When was the information pertaining to Sgoh Acquisition Inc most recently updated or revised?
The details related to Sgoh Acquisition Inc, including its address, specialty, and other relevant information, were last updated or revised on 2019-10-25.