Medical Park Orthopaedic Clinic, P.A.

LBN: Medical Park Orthopaedic Clinic, P.A.
Medical Park Orthopaedic Clinic, P.A. is an health care organization with primary practice located at 501 Virginia Dr Suite C, Batesville AR 72501-7331. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Medical Park Orthopaedic Clinic, P.A. can be contacted via phone (870) 793-2371, or through Angel, Jeffery Deoin via phone (870) 793-2371.

Contact Information

Primary practice address
501 Virginia Dr Suite C Batesville AR 72501-7331
Fax: (870) 793-7585
Website:
Authorized official contact:
Name: Angel, Jeffery Deoin Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Arkansas

Profile Details

NPI number 1336105063
LBN Legal business name Medical Park Orthopaedic Clinic, P.A.
DBA Doing business as
Authorized official Angel, Jeffery Deoin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Jan 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336105063 NPPES
Arkansas MEDICAID 142894002

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