Deimel, George W

Deimel, George W is an individual health care provider with primary practice located at 3317 N Wimberly Dr , Fayetteville AR 72703-4056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Deimel, George W can be contacted via phone (479) 521-2752.

Contact Information

Primary practice address
3317 N Wimberly Dr Fayetteville AR 72703-4056
Phone: (479) 521-2752
Fax: (479) 521-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X E-8659 Arkansas
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X E-8659 Arkansas

Profile Details

NPI number 1669603064
LBN Legal business name Deimel, George W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2009
Last updated Jul 12th, 2021 - 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 1669603064 NPPES
Arkansas MEDICAID 206486001
Arkansas Other 5JJ87

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