Elangwe, Philip Dunn
Elangwe, Philip Dunn is an individual health care provider with primary practice located at 2420 Rogers Ave , Fort Smith AR 72901-4164. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Elangwe, Philip Dunn can be contacted via phone (479) 782-0244.Contact Information
Primary practice address
2420 Rogers Ave
Fort Smith AR 72901-4164
Phone: (479) 782-0244
Fax: (479) 782-0267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E5047 | Arkansas |
Profile Details
| NPI number | 1780776435 |
|---|---|
| LBN Legal business name | Elangwe, Philip Dunn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Aug 5th, 2021 - about 4 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 | 1780776435 | NPPES |
| Oklahoma | MEDICAID | 200169740A | |
| Oklahoma | MEDICAID | 172829001 |
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