Northwest Arkansas Emg Clinic
LBN: Miles M Johnson, M.D. P.A.
Northwest Arkansas Emg Clinic is an health care organization with primary practice located at 2820 E Millennium Pl Suite 1, Fayetteville AR 72703-6514. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty.
Miles M Johnson, M.D. P.A. can be contacted via phone (479) 251-8055, or through Johnson, Miles M via phone (479) 251-8055.
Contact Information
Primary practice address
2820 E Millennium Pl Suite 1
Fayetteville AR 72703-6514
Phone: (479) 251-8055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X |
Profile Details
| NPI number | 1194717462 |
|---|---|
| LBN Legal business name | Miles M Johnson, M.D. P.A. |
| DBA Doing business as | Northwest Arkansas Emg Clinic |
| Authorized official | Johnson, Miles M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jun 14th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194717462 | NPPES |
| Arkansas | MEDICAID | 155016002 | |
| Arkansas | MEDICAID | 100848150A |
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