Daut, Peter M
Daut, Peter M is an individual health care provider with primary practice located at 741 E Van Asche Dr , Fayetteville AR 72703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Daut, Peter M can be contacted via phone (479) 442-5227.Contact Information
Primary practice address
741 E Van Asche Dr
Fayetteville AR 72703
Phone: (479) 442-5227
Fax: (479) 582-4952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E4319 | Arkansas |
Profile Details
| NPI number | 1952352106 |
|---|---|
| LBN Legal business name | Daut, Peter M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 28th, 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 | 1952352106 | NPPES |
| Arkansas | Other | 5N242 | BLUE CROSS PROVIDER |
| Arkansas | MEDICAID | 157780001 | BLUE CROSS PROVIDER |
| Arkansas | Other | 11810000000 | BLUE CROSS PROVIDER |
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