Fletcher, Terry Grant
Fletcher, Terry Grant is an individual health care provider with primary practice located at 108 N Shackleford Rd , Little Rock AR 72211-2840. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Fletcher, Terry Grant can be contacted via phone (501) 712-2571.Contact Information
Primary practice address
108 N Shackleford Rd
Little Rock AR 72211-2840
Phone: (501) 712-2571
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | E-5050 | Arkansas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | E-5050 | Arkansas |
Profile Details
| NPI number | 1851443832 |
|---|---|
| LBN Legal business name | Fletcher, Terry Grant |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Apr 5th, 2022 - about 2 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 | 1851443832 | NPPES |
| Arkansas | Other | 5N783 | AR BLUE CROSS/BLUE SHIELD |
| Arkansas | MEDICAID | 163885001 | AR BLUE CROSS/BLUE SHIELD |
| Arkansas | Other | P00412911 | AR BLUE CROSS/BLUE SHIELD |
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