Moody, Lackey Gene
Moody, Lackey Gene is an individual health care provider with primary practice located at 1301 White Dr , Batesville AR 72501-9467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moody, Lackey Gene can be contacted via phone (870) 793-6887.Contact Information
Primary practice address
1301 White Dr
Batesville AR 72501-9467
Phone: (870) 793-6887
Fax: (870) 793-8085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C-4126 | Arkansas |
Profile Details
| NPI number | 1730149741 |
|---|---|
| LBN Legal business name | Moody, Lackey Gene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730149741 | NPPES |
| Arkansas | Other | 53736 | BLUE CROSS OF AR |
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