Hendren, Michael Conley
Hendren, Michael Conley is an sole proprietor health care provider with primary practice located at 404 N El Paso Ave , Russellville AR 72801-3737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hendren, Michael Conley can be contacted via phone (479) 968-4177.Contact Information
Primary practice address
404 N El Paso Ave
Russellville AR 72801-3737
Phone: (479) 968-4177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C-5062 | Arkansas |
Profile Details
| NPI number | 1679539928 |
|---|---|
| LBN Legal business name | Hendren, Michael Conley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Aug 31st, 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 | 1679539928 | NPPES |
| Arkansas | MEDICAID | 101738001 |
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