Bise, Cygnet A

Bise, Cygnet A is an individual health care provider with primary practice located at 1001 Towson Ave , Fort Smith AR 72901-4921. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Bise, Cygnet A can be contacted via phone (479) 478-8555.

Contact Information

Primary practice address
1001 Towson Ave Fort Smith AR 72901-4921
Phone: (479) 478-8555
Fax: (479) 478-8555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X R4158 Arkansas

Profile Details

NPI number 1053314203
LBN Legal business name Bise, Cygnet A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Nov 11th, 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 1053314203 NPPES
Arkansas MEDICAID 149716002
Arkansas Other 4102586
Arkansas Other 250014112
Arkansas MEDICAID 100174420B

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