Arkansas Dermatology Clinic Pa

LBN: Arkansas Dermatology Clinic Pa
Arkansas Dermatology Clinic Pa is an health care organization with primary practice located at 500 South University Avenue Suite 704, Little Rock AR 72205-5309. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Arkansas Dermatology Clinic Pa can be contacted via phone (501) 666-5451, or through Raque, Carl Joseph via phone (501) 666-5451.

Contact Information

Primary practice address
500 South University Avenue Suite 704 Little Rock AR 72205-5309
Phone: (501) 666-5451
Fax: (501) 663-3335
Website:
Map and Directions
Authorized official contact:
Name: Raque, Carl Joseph Doctor of Medicine (MD)
Phone: (501) 666-5451

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X R2029 Arkansas

Profile Details

NPI number 1497713580
LBN Legal business name Arkansas Dermatology Clinic Pa
DBA Doing business as
Authorized official Raque, Carl Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2006
Last updated Nov 16th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497713580 NPPES
Arkansas Other 54262 BCBS

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