Balentine, Robert Warren

Balentine, Robert Warren is an individual health care provider with primary practice located at 2302 College Ave , Conway AR 72034-6297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Balentine, Robert Warren can be contacted via phone (501) 329-3831.

Contact Information

Primary practice address
2302 College Ave Conway AR 72034-6297
Phone: (501) 329-3831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-6063 Arkansas

Profile Details

NPI number 1609927706
LBN Legal business name Balentine, Robert Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Mar 7th, 2023 - about last year

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 1609927706 NPPES
Louisiana MEDICAID 1-09174-0
Louisiana Other E-6063

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