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
Fax: (501) 257-3773
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750312369 NPPES
Arkansas MEDICAID 145589748

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