Norris, Wilton J

Norris, Wilton J is an individual health care provider with primary practice located at 614 Northtown , Mountain Home AR 72653-3105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Norris, Wilton J can be contacted via phone (870) 425-3131.

Contact Information

Primary practice address
614 Northtown Mountain Home AR 72653-3105
Phone: (870) 425-3131
Fax: (870) 425-3136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A01449ANP Arkansas

Profile Details

NPI number 1356316269
LBN Legal business name Norris, Wilton J
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Nov 18th, 2009 - about 15 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 1356316269 NPPES
Arkansas MEDICAID 140590758

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