Harrell, Adam Bryant
Harrell, Adam Bryant is an individual health care provider with primary practice located at 3010 Fountain Drive , Conway AR 72034-3684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Harrell, Adam Bryant can be contacted via phone (501) 328-0055.Contact Information
Primary practice address
3010 Fountain Drive
Conway AR 72034-3684
Phone: (501) 328-0055
Fax: (501) 328-2194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E6593 | Arkansas |
Profile Details
NPI number | 1376759068 |
---|---|
LBN Legal business name | Harrell, Adam Bryant |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2007 |
Last updated | Oct 14th, 2016 - about 8 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 | 1376759068 | NPPES |
Arkansas | MEDICAID | 182119001 |
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