Enderlin, Annette M

Enderlin, Annette M is an individual health care provider with primary practice located at 3 Medical Park Dr Suite 300, Benton AR 72015-3728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Enderlin, Annette M can be contacted via phone (501) 778-1113.

Contact Information

Primary practice address
3 Medical Park Dr Suite 300 Benton AR 72015-3728
Phone: (501) 778-1113
Fax: (501) 778-5391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C7476 Arkansas

Profile Details

NPI number 1457325417
LBN Legal business name Enderlin, Annette M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 30th, 2013 - about 12 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 1457325417 NPPES
Arkansas Other 6891055002 CIGNA
Arkansas Other 0820031 CIGNA
Arkansas Other 13767000000 CIGNA
Arkansas Other 180034661 CIGNA
Arkansas MEDICAID 122419001 CIGNA
Arkansas Other 4570317 CIGNA
Arkansas Other 71081368572015A002 CIGNA

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