Love, Mikeal Robert
Love, Mikeal Robert is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Love, Mikeal Robert can be contacted via phone (479) 443-4301.Contact Information
Primary practice address
1100 N College Ave
Fayetteville AR 72703-1944
Phone: (479) 443-4301
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | H7322 | Texas |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207VH0002X | E-13080 | Arkansas |
Profile Details
NPI number | 1891788428 |
---|---|
LBN Legal business name | Love, Mikeal Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2005 |
Last updated | Sep 26th, 2023 - about last year |
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 | 1891788428 | NPPES |
Texas | Other | TXB118821 | MEDICARE PTAN |
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