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
Phone: (479) 521-0455
Fax: (479) 444-9722
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1679579031 | NPPES |
| Arkansas | MEDICAID | 106242001 |
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