Huckabee, Mary
Huckabee, Mary is an individual health care provider with primary practice located at 1 Childrens Way #653 , Little Rock AR 72202-3500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Huckabee, Mary can be contacted via phone (501) 364-1100.Contact Information
Primary practice address
1 Childrens Way #653
Little Rock AR 72202-3500
Phone: (501) 364-1100
Fax: (501) 364-3480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-4844 | Arkansas |
Profile Details
| NPI number | 1770674954 |
|---|---|
| LBN Legal business name | Huckabee, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Sep 9th, 2016 - about 9 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 | 1770674954 | NPPES |
| Arkansas | Other | 06070016700 | QUALCHOICE |
| Arkansas | MEDICAID | 163220001 | QUALCHOICE |
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