Amick, Roger
Amick, Roger is an sole proprietor health care provider with primary practice located at 4 Executive Center Ct , Little Rock AR 72211-4487. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Amick, Roger can be contacted via phone (501) 448-0060.Contact Information
Primary practice address
4 Executive Center Ct
Little Rock AR 72211-4487
Phone: (501) 448-0060
Fax: (501) 448-0066
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | N-8191 | Arkansas |
Profile Details
NPI number | 1417964214 |
---|---|
LBN Legal business name | Amick, Roger |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 2nd, 2006 |
Last updated | Mar 18th, 2013 - about 12 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 | 1417964214 | NPPES |
Arkansas | Other | 55845 | MEDICARE |
Arkansas | Other | P00411837 | MEDICARE |
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