Bronfman, Richard A
Bronfman, Richard A is an individual health care provider with primary practice located at 1501 Aldersgate Rd , Little Rock AR 72205-6611. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bronfman, Richard A can be contacted via phone (501) 224-1501.Contact Information
Primary practice address
1501 Aldersgate Rd
Little Rock AR 72205-6611
Phone: (501) 224-1501
Fax: (501) 376-7065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 85 | Arkansas |
Profile Details
| NPI number | 1023088671 |
|---|---|
| LBN Legal business name | Bronfman, Richard A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 7th, 2011 - about 13 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 | 1023088671 | NPPES |
| Other | 480017644 | RR MEDICARE | |
| Other | 56061 | RR MEDICARE | |
| MEDICAID | 104888717 | RR MEDICARE | |
| Other | 56061 | RR MEDICARE | |
| Other | 56061 | RR MEDICARE | |
| Other | 56061 | RR MEDICARE | |
| Other | 56061 | RR MEDICARE |
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