Church, Michael C
Church, Michael C is an individual health care provider with primary practice located at 505 W Pershing Blvd Ste C , North Little Rock AR 72114-2157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Church, Michael C can be contacted via phone (501) 758-7352.Contact Information
Primary practice address
505 W Pershing Blvd Ste C
North Little Rock AR 72114-2157
Phone: (501) 758-7352
Fax: (501) 771-5014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C-7068 | Arkansas |
Profile Details
| NPI number | 1902815558 |
|---|---|
| LBN Legal business name | Church, Michael C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Oct 23rd, 2020 - about 4 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 | 1902815558 | NPPES |
| Arkansas | MEDICAID | 115824001 |
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