Arkansas Internal Medicine Clinic Pa

LBN: Arkansas Internal Medicine Clinic Pa
Arkansas Internal Medicine Clinic Pa is an health care organization with primary practice located at 500 S University Ave Ste 605 , Little Rock AR 72205-5308. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Arkansas Internal Medicine Clinic Pa can be contacted via phone (501) 537-4590, or through Mogbo, Solomon Chukwuemeka via phone (501) 537-4590.

Contact Information

Primary practice address
500 S University Ave Ste 605 Little Rock AR 72205-5308
Phone: (501) 537-4590
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mogbo, Solomon Chukwuemeka Doctor of Medicine (MD)
Phone: (501) 537-4590

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X EI875 Arkansas

Profile Details

NPI number 1821117565
LBN Legal business name Arkansas Internal Medicine Clinic Pa
DBA Doing business as
Authorized official Mogbo, Solomon Chukwuemeka Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Nov 9th, 2009 - about 16 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 1821117565 NPPES
Arkansas MEDICAID 145707001
Arkansas MEDICAID 149931002

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