Cedeno, Philip A

Cedeno, Philip A is an individual health care provider with primary practice located at 2900 Medical Center Pkwy Ste 300 , Bentonville AR 72712-3214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cedeno, Philip A can be contacted via phone (479) 553-2250.

Contact Information

Primary practice address
2900 Medical Center Pkwy Ste 300 Bentonville AR 72712-3214
Fax: (479) 553-2261
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E-7736 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 0421713 Kansas

Profile Details

NPI number 1457468498
LBN Legal business name Cedeno, Philip A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Sep 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457468498 NPPES
Kansas MEDICAID 100125180C

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