Fleck, Randolph P

Fleck, Randolph P is an individual health care provider with primary practice located at 6801 Rogers Ave , Fort Smith AR 72903-4067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fleck, Randolph P can be contacted via phone (479) 274-4700.

Contact Information

Primary practice address
6801 Rogers Ave Fort Smith AR 72903-4067
Phone: (479) 274-4700
Fax: (479) 274-4799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X N-8317 Arkansas

Profile Details

NPI number 1952333403
LBN Legal business name Fleck, Randolph P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 28th, 2015 - about 9 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 1952333403 NPPES
Arkansas MEDICAID 122170001
Arkansas Other 060017497

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