Ladd, Dale

Ladd, Dale is an sole proprietor health care provider with primary practice located at 1119 N Saint Louis , Batesville AR 72501-9458. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ladd, Dale can be contacted via phone (870) 793-6857.

Contact Information

Primary practice address
1119 N Saint Louis Batesville AR 72501-9458
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X AR2425 Arkansas

Profile Details

NPI number 1508910167
LBN Legal business name Ladd, Dale
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Mar 4th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508910167 NPPES
Arkansas MEDICAID 127707722
Arkansas Other 48815
Arkansas MEDICAID 126161722

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