Divino, Caesar S
Divino, Caesar S is an sole proprietor health care provider with primary practice located at 2200 Fort Roots Dr Bldg 661 , North Little Rock AR 72114-1709. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Divino, Caesar S can be contacted via phone (501) 257-3474.Contact Information
Primary practice address
2200 Fort Roots Dr Bldg 661
North Little Rock AR 72114-1709
Phone: (501) 257-3474
Fax: (501) 257-3773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 164 | Arkansas |
Profile Details
| NPI number | 1750312369 |
|---|---|
| LBN Legal business name | Divino, Caesar S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Apr 3rd, 2024 - about 7 months 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 | 1750312369 | NPPES |
| Arkansas | MEDICAID | 145589748 |
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