Beard, Michael R

Beard, Michael R is an individual health care provider with primary practice located at 507 W Commerce Dr Suite 201, Benton AR 72022-7512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beard, Michael R can be contacted via phone (501) 847-0082.

Contact Information

Primary practice address
507 W Commerce Dr Suite 201 Benton AR 72022-7512
Phone: (501) 847-0082
Fax: (501) 847-6680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-8107 Arkansas

Profile Details

NPI number 1316949167
LBN Legal business name Beard, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 13th, 2017 - about 8 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 1316949167 NPPES
Other 150920000 QUALCHOICE OF ARKANSAS
Other 01-20179 QUALCHOICE OF ARKANSAS
Other 080181031 QUALCHOICE OF ARKANSAS
MEDICAID 125673001 QUALCHOICE OF ARKANSAS

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