Ford, Mary N

Ford, Mary N is an individual health care provider with primary practice located at 3344 N Futrall Dr , Fayetteville AR 72703-4057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ford, Mary N can be contacted via phone (479) 521-8200.

Contact Information

Primary practice address
3344 N Futrall Dr Fayetteville AR 72703-4057
Phone: (479) 521-8200
Fax: (479) 582-7310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-10346 Arkansas

Profile Details

NPI number 1356323042
LBN Legal business name Ford, Mary N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Mar 14th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356323042 NPPES
Tennessee Other 3062741 BLUE CROSS
Tennessee MEDICAID 3388963 BLUE CROSS
Tennessee Other 000000003911 BLUE CROSS

Popular Providers