Bienvenu, Gregory S
Bienvenu, Gregory S is an individual health care provider with primary practice located at 8907 Kanis Rd Ste 330 , Little Rock AR 72205-6451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bienvenu, Gregory S can be contacted via phone (501) 224-8810.Contact Information
Primary practice address
8907 Kanis Rd Ste 330
Little Rock AR 72205-6451
Phone: (501) 224-8810
Fax: (501) 224-9076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | R-3940 | Arkansas |
Profile Details
| NPI number | 1053302893 |
|---|---|
| LBN Legal business name | Bienvenu, Gregory S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Jul 30th, 2020 - about 5 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 | 1053302893 | NPPES |
| Arkansas | MEDICAID | 115723001 | |
| Arkansas | Other | 52915 |
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