Cdu, Pllc

LBN: Cdu, Pllc
Cdu, Pllc is an health care organization with primary practice located at 1600 W 42Nd Ave , Pine Bluff AR 71603-7006. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Cdu, Pllc can be contacted via phone (870) 541-7111, or through Skowronski, John Theodore via phone (870) 850-6053.

Contact Information

Primary practice address
1600 W 42Nd Ave Pine Bluff AR 71603-7006
Phone: (870) 541-7111
Fax: (870) 850-6482
Website:
Map and Directions
Authorized official contact:
Name: Skowronski, John Theodore Doctor of Medicine (MD)
Phone: (870) 850-6053

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X Arkansas

Profile Details

NPI number 1114283694
LBN Legal business name Cdu, Pllc
DBA Doing business as
Authorized official Skowronski, John Theodore Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2012
Last updated Apr 13th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114283694 NPPES
Arkansas MEDICAID PENDING

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