Godfrey, Lincoln Alexander

Godfrey, Lincoln Alexander is an sole proprietor health care provider with primary practice located at 624 Hospital Dr , Mountain Home AR 72653-2955. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Godfrey, Lincoln Alexander can be contacted via phone (870) 501-1000.

Contact Information

Primary practice address
624 Hospital Dr Mountain Home AR 72653-2955
Phone: (870) 501-1000
Fax: (870) 424-3089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-2845 Arkansas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E2845 Arkansas

Profile Details

NPI number 1417908872
LBN Legal business name Godfrey, Lincoln Alexander
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Mar 7th, 2020 - about 4 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 1417908872 NPPES
Arkansas MEDICAID 143967003

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