Lafferty, Warren Scott

Lafferty, Warren Scott is an individual health care provider with primary practice located at 1706 Se Walton Blvd Ste 4 , Bentonville AR 72712-3201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lafferty, Warren Scott can be contacted via phone (479) 464-0400.

Contact Information

Primary practice address
1706 Se Walton Blvd Ste 4 Bentonville AR 72712-3201
Phone: (479) 464-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-0988 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-0988 Arkansas

Profile Details

NPI number 1639118391
LBN Legal business name Lafferty, Warren Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Apr 28th, 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 1639118391 NPPES
Arkansas MEDICAID 130105001

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