Abiseid, Jose
Abiseid, Jose is an sole proprietor health care provider with primary practice located at 194 Shakerag Rd , Clinton AR 72031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abiseid, Jose can be contacted via phone (501) 745-2800.Contact Information
Primary practice address
194 Shakerag Rd
Clinton AR 72031
Phone: (501) 745-2800
Fax: (501) 745-8864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N6056 | Arkansas |
Profile Details
| NPI number | 1154391514 |
|---|---|
| LBN Legal business name | Abiseid, Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Sep 23rd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154391514 | NPPES |
| Arkansas | MEDICAID | 106212001 |
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