Beallis, Donna Berryman
Beallis, Donna Berryman is an individual health care provider with primary practice located at 609 W Maple Ave , Springdale AR 72764-5335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Beallis, Donna Berryman can be contacted via phone (479) 751-5711.Contact Information
Primary practice address
609 W Maple Ave
Springdale AR 72764-5335
Phone: (479) 751-5711
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | E-5626 | Arkansas |
Profile Details
NPI number | 1669423125 |
---|---|
LBN Legal business name | Beallis, Donna Berryman |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2006 |
Last updated | Oct 5th, 2021 - about 4 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 | 1669423125 | NPPES |
Arkansas | Other | 5H231 | ABCBS |
Arkansas | MEDICAID | 171849003 | ABCBS |
Arkansas | MEDICAID | 200199440A | ABCBS |
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