Chisum-Price, Amanda G.

Chisum-Price, Amanda G. is an individual health care provider with primary practice located at 923 Lexington Ave , Fort Smith AR 72901-4943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Chisum-Price, Amanda G. can be contacted via phone (479) 709-7350.

Contact Information

Primary practice address
923 Lexington Ave Fort Smith AR 72901-4943
Fax: (479) 709-7355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E-5310 Arkansas

Profile Details

NPI number 1407047459
LBN Legal business name Chisum-Price, Amanda G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Mar 28th, 2012 - about 12 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 1407047459 NPPES
Arkansas MEDICAID 166054001
Arkansas MEDICAID 200117300A

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