Fine, Gary D
Fine, Gary D is an individual health care provider with primary practice located at 4200 Jenny Lind Road Suite A, Fort Smith AR 72901. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fine, Gary D can be contacted via phone (479) 484-1010.Contact Information
Primary practice address
4200 Jenny Lind Road Suite A
Fort Smith AR 72901
Phone: (479) 484-1010
Fax: (479) 785-9916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E0277 | Arkansas |
Profile Details
| NPI number | 1245231828 |
|---|---|
| LBN Legal business name | Fine, Gary D |
| Credentials | D.O., F.A.C.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Mar 20th, 2014 - about 10 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 | 1245231828 | NPPES |
| Arkansas | MEDICAID | 127031003 |
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