Mcauley, John Robert

Mcauley, John Robert is an individual health care provider with primary practice located at 23 Professional Park Dr , Clarksville AR 72830-4432. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Mcauley, John Robert can be contacted via phone (479) 754-4721.

Contact Information

Primary practice address
23 Professional Park Dr Clarksville AR 72830-4432
Phone: (479) 754-4721
Fax: (844) 584-4213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X C4957 Arkansas

Profile Details

NPI number 1104812619
LBN Legal business name Mcauley, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Oct 22nd, 2015 - about 10 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 1104812619 NPPES
Arkansas MEDICAID 103098001

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