Easom, Delilah
Easom, Delilah is an individual health care provider with primary practice located at 7301 Rogers Ave , Fort Smith AR 72903-4100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Easom, Delilah can be contacted via phone (479) 314-5175.Contact Information
Primary practice address
7301 Rogers Ave
Fort Smith AR 72903-4100
Phone: (479) 314-5175
Fax: (479) 314-5185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | E3274 | Arkansas |
Profile Details
| NPI number | 1447283551 |
|---|---|
| LBN Legal business name | Easom, Delilah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jun 5th, 2009 - about 16 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 | 1447283551 | NPPES |
| Arkansas | MEDICAID | 146793001 | |
| Arkansas | MEDICAID | 200043150A | |
| Arkansas | Other | 5M300 |
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