Bedwell, Sondra Gail

Bedwell, Sondra Gail is an individual health care provider with primary practice located at 300 E 6Th St , Texarkana AR 71854-5207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bedwell, Sondra Gail can be contacted via phone (870) 779-6000.

Contact Information

Primary practice address
300 E 6Th St Texarkana AR 71854-5207
Fax: (870) 779-6119
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A01704 Arkansas

Profile Details

NPI number 1538166483
LBN Legal business name Bedwell, Sondra Gail
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 3rd, 2010 - 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 1538166483 NPPES
Arkansas MEDICAID 149959758
Arkansas MEDICAID 160468801

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