Bevans, David Wilson

Bevans, David Wilson is an individual health care provider with primary practice located at 3401 Springhill Dr Ste 400, North Little Rock AR 72117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bevans, David Wilson can be contacted via phone (501) 945-4422.

Contact Information

Primary practice address
3401 Springhill Dr Ste 400 North Little Rock AR 72117
Phone: (501) 945-4422
Fax: (501) 955-6046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X CB228 Arkansas

Profile Details

NPI number 1144292368
LBN Legal business name Bevans, David Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 12th, 2010 - about 15 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 1144292368 NPPES
Arkansas MEDICAID 131635001

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