Isenberg, Clayton Hoyt
Isenberg, Clayton Hoyt is an individual health care provider with primary practice located at 1122 Tahoe Dr , Maumelle AR 72113-5009. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Isenberg, Clayton Hoyt can be contacted via phone (501) 847-2880.Contact Information
Primary practice address
1122 Tahoe Dr
Maumelle AR 72113-5009
Phone: (501) 847-2880
Fax: (501) 847-2881
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | PD14513 | Arkansas |
Profile Details
NPI number | 1174122253 |
---|---|
LBN Legal business name | Isenberg, Clayton Hoyt |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 20th, 2020 |
Last updated | Oct 20th, 2020 - about 5 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 | 1174122253 | NPPES |
Arkansas | MEDICAID | 196323407 |
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