Oldenberg, Denise T
Oldenberg, Denise T is an sole proprietor health care provider with primary practice located at 1 West Cherokee Village Mall , Cherokee Village AR 72529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Oldenberg, Denise T can be contacted via phone (870) 257-4110.Contact Information
Primary practice address
1 West Cherokee Village Mall
Cherokee Village AR 72529
Phone: (870) 257-4110
Fax: (870) 257-4112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R3890 | Arkansas |
Profile Details
| NPI number | 1538137500 |
|---|---|
| LBN Legal business name | Oldenberg, Denise T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | May 12th, 2010 - about 16 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 | 1538137500 | NPPES |
| Arkansas | MEDICAID | 114697001 | |
| Arkansas | MEDICAID | 203828306 |
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