Breau, Randall L

Breau, Randall L is an individual health care provider with primary practice located at 9601 Baptist Health Dr Ste 860 , Little Rock AR 72205-6375. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Breau, Randall L can be contacted via phone (501) 975-7455.

Contact Information

Primary practice address
9601 Baptist Health Dr Ste 860 Little Rock AR 72205-6375
Phone: (501) 975-7455
Fax: (501) 975-3631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E1230 Arkansas
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X E1230 Arkansas
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X E1230 Arkansas

Profile Details

NPI number 1699804138
LBN Legal business name Breau, Randall L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jul 5th, 2022 - about 2 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 1699804138 NPPES
Arkansas MEDICAID 131705001

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