Bardell, Craig R
Bardell, Craig R is an individual health care provider with primary practice located at 1509 N Division St , Forrest City AR 72335-2067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bardell, Craig R can be contacted via phone (570) 640-4630.Contact Information
Primary practice address
1509 N Division St
Forrest City AR 72335-2067
Phone: (570) 640-4630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E3993 | Arkansas |
Profile Details
| NPI number | 1184632705 |
|---|---|
| LBN Legal business name | Bardell, Craig R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Mar 19th, 2018 - about 7 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 | 1184632705 | NPPES |
| Arkansas | MEDICAID | 158899001 |
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