Barnes, Reginald W

Barnes, Reginald W is an sole proprietor health care provider with primary practice located at 9601 Lile Dr Ste 700 , Little Rock AR 72205-6329. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Barnes, Reginald W can be contacted via phone (501) 219-1970.

Contact Information

Primary practice address
9601 Lile Dr Ste 700 Little Rock AR 72205-6329
Fax: (501) 219-1944
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C-6211 Arkansas

Profile Details

NPI number 1568562437
LBN Legal business name Barnes, Reginald W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Sep 14th, 2011 - about 14 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 1568562437 NPPES
Arkansas Other 53633 MEDICARE ID
Arkansas MEDICAID 117491001 MEDICARE ID

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