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
Fax: (501) 847-2881
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174122253 NPPES
Arkansas MEDICAID 196323407

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