Alberty, John Brannon
Alberty, John Brannon is an individual health care provider with primary practice located at 2601 Gene George Blvd , Springdale AR 72762-0845. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Alberty, John Brannon can be contacted via phone (479) 334-3485.Contact Information
Primary practice address
2601 Gene George Blvd
Springdale AR 72762-0845
Phone: (479) 334-3485
Fax: (479) 725-6582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 201755 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 201755 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | E-15860 | Arkansas |
Profile Details
| NPI number | 1538195128 |
|---|---|
| LBN Legal business name | Alberty, John Brannon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Oct 28th, 2022 - about 3 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 | 1538195128 | NPPES |
| Louisiana | MEDICAID | 1021458 | |
| Louisiana | MEDICAID | 08457827 | |
| Louisiana | MEDICAID | 64121817 |
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