Douglas, William Ladell
Douglas, William Ladell is an sole proprietor health care provider with primary practice located at 100 E 20Th St Suite B, Hope AR 71801-8213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Douglas, William Ladell can be contacted via phone (870) 777-2100.Contact Information
Primary practice address
100 E 20Th St Suite B
Hope AR 71801-8213
Phone: (870) 777-2100
Fax: (870) 777-4851
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | R4535 | Arkansas |
Profile Details
NPI number | 1285654285 |
---|---|
LBN Legal business name | Douglas, William Ladell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 20th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1285654285 | NPPES |
Arkansas | Other | 144850000 | QUAL CHOICE |
Arkansas | MEDICAID | 124721001 | QUAL CHOICE |
Arkansas | Other | 5J306 | QUAL CHOICE |
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