Colclasure, Joe B

Colclasure, Joe B is an individual health care provider with primary practice located at 4020 Richards Rd Ste B , North Little Rock AR 72117-2744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Colclasure, Joe B can be contacted via phone (501) 975-7550.

Contact Information

Primary practice address
4020 Richards Rd Ste B North Little Rock AR 72117-2744
Phone: (501) 975-7550
Fax: (501) 975-7553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X C4019 Arkansas

Profile Details

NPI number 1811977838
LBN Legal business name Colclasure, Joe B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jan 10th, 2019 - about 7 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 1811977838 NPPES
Arkansas MEDICAID 104010001

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