Irak Dersu, Inci

Irak Dersu, Inci is an individual health care provider with primary practice located at 4301 W Markham St # 783 , Little Rock AR 72205-7101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Irak Dersu, Inci can be contacted via phone (501) 686-8000.

Contact Information

Primary practice address
4301 W Markham St # 783 Little Rock AR 72205-7101
Fax: (501) 526-5148
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X E-4268 Arkansas

Profile Details

NPI number 1477643963
LBN Legal business name Irak Dersu, Inci
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Oct 22nd, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477643963 NPPES
Arkansas MEDICAID 156349001
Arkansas Other P00239699

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