Innes, Peter A
Innes, Peter A is an individual health care provider with primary practice located at 603-2 N Progress Ave Ste 200 , Siloam Springs AR 72761-4206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Innes, Peter A can be contacted via phone (479) 215-3040.Contact Information
Primary practice address
603-2 N Progress Ave Ste 200
Siloam Springs AR 72761-4206
Phone: (479) 215-3040
Fax: (479) 524-4363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 04-28693 | Kansas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01-28693 | Kansas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 43678 | Arizona |
Profile Details
| NPI number | 1255343455 |
|---|---|
| LBN Legal business name | Innes, Peter A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Sep 15th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255343455 | NPPES |
| Kansas | MEDICAID | 100421520B | |
| Kansas | MEDICAID | 549477 | |
| Kansas | MEDICAID | 100421520D |
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