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
Fax: (870) 777-4851
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285654285 NPPES
Arkansas Other 144850000 QUAL CHOICE
Arkansas MEDICAID 124721001 QUAL CHOICE
Arkansas Other 5J306 QUAL CHOICE

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