Chrisman, Freddy Dwight

Chrisman, Freddy Dwight is an individual health care provider with primary practice located at 9501 Lile Dr Suite 600, Little Rock AR 72205-6225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chrisman, Freddy Dwight can be contacted via phone (501) 227-7596.

Contact Information

Primary practice address
9501 Lile Dr Suite 600 Little Rock AR 72205-6225
Phone: (501) 227-7596
Fax: (501) 227-7787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E2165 Arkansas

Profile Details

NPI number 1649241258
LBN Legal business name Chrisman, Freddy Dwight
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Oct 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649241258 NPPES
Arkansas Other 5M816 BLUE CROSS BLUE SHIELD
Arkansas Other CC6745 BLUE CROSS BLUE SHIELD
Arkansas MEDICAID 154191001 BLUE CROSS BLUE SHIELD
Arkansas Other CN1884 BLUE CROSS BLUE SHIELD

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