Oswalt, Lorie

Oswalt, Lorie is an individual health care provider with primary practice located at 1200 Se 28Th St Ste 2, Bentonville AR 72712-3881. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Oswalt, Lorie can be contacted via phone (479) 271-0005.

Contact Information

Primary practice address
1200 Se 28Th St Ste 2 Bentonville AR 72712-3881
Phone: (479) 271-0005
Fax: (479) 271-0005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X A03018ANP Arkansas

Profile Details

NPI number 1376717579
LBN Legal business name Oswalt, Lorie
Credentials RN APN MNSC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2008
Last updated May 24th, 2012 - about 12 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 1376717579 NPPES
Arkansas MEDICAID 191390758

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