Hewett, Mark Alan
Hewett, Mark Alan is an individual health care provider with primary practice located at 2100 S 54Th St , Rogers AR 72758-8169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hewett, Mark Alan can be contacted via phone (479) 271-7077.Contact Information
Primary practice address
2100 S 54Th St
Rogers AR 72758-8169
Phone: (479) 271-7077
Fax: (479) 271-7035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | C-6422 | Arkansas |
Profile Details
| NPI number | 1497810139 |
|---|---|
| LBN Legal business name | Hewett, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Nov 22nd, 2011 - about 13 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 | 1497810139 | NPPES |
| Arkansas | MEDICAID | 105365001 |
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