Massey, Laura

Massey, Laura is an individual health care provider with primary practice located at 437 Denison St , Conway AR 72034-6127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Massey, Laura can be contacted via phone (501) 327-1325.

Contact Information

Primary practice address
437 Denison St Conway AR 72034-6127
Phone: (501) 327-1325
Fax: (501) 327-1328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E2863 Arkansas

Profile Details

NPI number 1174502710
LBN Legal business name Massey, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Dec 3rd, 2012 - about 12 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 1174502710 NPPES
Arkansas MEDICAID 146334001

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