Beau, Scott L
Beau, Scott L is an individual health care provider with primary practice located at 7 Shackleford West Blvd , Little Rock AR 72211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Beau, Scott L can be contacted via phone (501) 664-5860.Contact Information
Primary practice address
7 Shackleford West Blvd
Little Rock AR 72211
Phone: (501) 664-5860
Fax: (501) 664-0889
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | E0721 | Arkansas |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | E0721 | Arkansas |
Profile Details
NPI number | 1861485302 |
---|---|
LBN Legal business name | Beau, Scott L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2005 |
Last updated | Aug 29th, 2018 - about 6 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 | 1861485302 | NPPES |
Arkansas | MEDICAID | 129289001 |
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