Belmont Iii, Anthony M
Belmont Iii, Anthony M is an sole proprietor health care provider with primary practice located at 777 Avenue H , Powell WY 82435. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Belmont Iii, Anthony M can be contacted via phone (307) 754-2267.Contact Information
Primary practice address
777 Avenue H
Powell WY 82435
Phone: (307) 754-2267
Fax: (307) 754-7740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | C001480 | Arkansas |
Profile Details
| NPI number | 1972592707 |
|---|---|
| LBN Legal business name | Belmont Iii, Anthony M |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Mar 16th, 2016 - about 9 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 | 1972592707 | NPPES |
| Arkansas | MEDICAID | 155719701 | |
| Arkansas | Other | P00191830 | |
| Arkansas | Other | 5Y200 |
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