Clevenger, Michael E

Clevenger, Michael E is an individual health care provider with primary practice located at 2900 Hawkins Dr , Searcy AR 72143-4802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Clevenger, Michael E can be contacted via phone (501) 278-2800.

Contact Information

Primary practice address
2900 Hawkins Dr Searcy AR 72143-4802
Phone: (501) 278-2800
Fax: (501) 278-3073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X J8964 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E4264 Arkansas

Profile Details

NPI number 1245230341
LBN Legal business name Clevenger, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Apr 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245230341 NPPES
Arkansas MEDICAID 127758001
Arkansas MEDICAID 047792901

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