Dunaway, Edwin
Dunaway, Edwin is an sole proprietor health care provider with primary practice located at 8801 Baseline Rd , Little Rock AR 72209-5901. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dunaway, Edwin can be contacted via phone (501) 565-2848.Contact Information
Primary practice address
8801 Baseline Rd
Little Rock AR 72209-5901
Phone: (501) 565-2848
Fax: (501) 565-2724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2321 | Arkansas |
Profile Details
| NPI number | 1679565105 |
|---|---|
| LBN Legal business name | Dunaway, Edwin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1679565105 | NPPES |
| Arkansas | MEDICAID | 133103722 |
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