Over, Darrell R
Over, Darrell R is an individual health care provider with primary practice located at 4010 S Mulberry St , Pine Bluff AR 71603-7000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Over, Darrell R can be contacted via phone (870) 541-6008.Contact Information
Primary practice address
4010 S Mulberry St
Pine Bluff AR 71603-7000
Phone: (870) 541-6008
Fax: (870) 541-3198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-1462 | Arkansas |
Profile Details
| NPI number | 1700842218 |
|---|---|
| LBN Legal business name | Over, Darrell R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Feb 7th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700842218 | NPPES |
| Arkansas | Other | 5K560 | MEDICARE |
| Arkansas | Other | 18887000002 | MEDICARE |
| Arkansas | Other | G53750 | MEDICARE |
| Arkansas | MEDICAID | 132760001 | MEDICARE |
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