De Bruyn, Van H

De Bruyn, Van H is an individual health care provider with primary practice located at 11220 Executive Center Dr Ste 200 , Little Rock AR 72211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. De Bruyn, Van H can be contacted via phone (501) 399-4212.

Contact Information

Primary practice address
11220 Executive Center Dr Ste 200 Little Rock AR 72211
Phone: (501) 399-4212
Fax: (501) 868-7551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E-1621 Arkansas
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X E-1621 Arkansas

Profile Details

NPI number 1871518522
LBN Legal business name De Bruyn, Van H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 12th, 2019 - about 5 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 1871518522 NPPES
Arkansas Other 89-V554 MALP INS
Arkansas MEDICAID 133844001 MALP INS

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