Edmondson, Steven A

Edmondson, Steven A is an individual health care provider with primary practice located at 3215 N North Hills Blvd Hospital Medicine Group, Fayetteville AR 72703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Edmondson, Steven A can be contacted via phone (479) 463-1000.

Contact Information

Primary practice address
3215 N North Hills Blvd Hospital Medicine Group Fayetteville AR 72703
Phone: (479) 463-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C4929 Arkansas

Profile Details

NPI number 1831186816
LBN Legal business name Edmondson, Steven A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Sep 22nd, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831186816 NPPES
Arkansas MEDICAID 105806001
Arkansas MEDICAID 100079950B

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