Bagwell, Holli Beth

Bagwell, Holli Beth is an individual health care provider with primary practice located at 2601 Gene George Blvd , Springdale AR 72762. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Bagwell, Holli Beth can be contacted via phone (479) 725-6977.

Contact Information

Primary practice address
2601 Gene George Blvd Springdale AR 72762
Phone: (479) 725-6977
Fax: (479) 725-6577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X E-7049 Arkansas
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2014025044 Missouri

Profile Details

NPI number 1639346240
LBN Legal business name Bagwell, Holli Beth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2008
Last updated Jan 7th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639346240 NPPES
Arkansas MEDICAID 230539003

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