Magness, Carl Robert

Magness, Carl Robert is an sole proprietor health care provider with primary practice located at 102 W Dickson St , Fayetteville AR 72701-5219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Magness, Carl Robert can be contacted via phone (479) 521-1114.

Contact Information

Primary practice address
102 W Dickson St Fayetteville AR 72701-5219
Phone: (479) 521-1114
Fax: (479) 521-2540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X C4954 Arkansas

Profile Details

NPI number 1548345606
LBN Legal business name Magness, Carl Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated May 15th, 2015 - about 9 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 1548345606 NPPES
Arkansas Other 926497965 DRIVERS LICENSE
Arkansas MEDICAID 106381001 DRIVERS LICENSE

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