Fincher, Grady Glen

Fincher, Grady Glen is an sole proprietor health care provider with primary practice located at 2100 N Green Acres Rd Ste B, Fayetteville AR 72703-2885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fincher, Grady Glen can be contacted via phone (479) 521-0455.

Contact Information

Primary practice address
2100 N Green Acres Rd Ste B Fayetteville AR 72703-2885
Fax: (479) 444-9722
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X C2972 Arkansas

Profile Details

NPI number 1679579031
LBN Legal business name Fincher, Grady Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Jul 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679579031 NPPES
Arkansas MEDICAID 106242001

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