Cordova, Frank
Cordova, Frank is an sole proprietor health care provider with primary practice located at 900 S Parker Haskell St , Benton AR 72015-8961. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Cordova, Frank can be contacted via phone (501) 615-7959.Contact Information
Primary practice address
900 S Parker Haskell St
Benton AR 72015-8961
Phone: (501) 615-7959
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1053060350 |
|---|---|
| LBN Legal business name | Cordova, Frank |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2022 |
| Last updated | Mar 22nd, 2022 - about 3 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 | 1053060350 | NPPES |
| Arkansas | MEDICAID | 12022 | |
| Arkansas | MEDICAID | 35361 | |
| Arkansas | MEDICAID | ADECR |
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