Paddock, George O.

Paddock, George O. is an individual health care provider with primary practice located at 21 Crestview Plz , Jacksonville AR 72076-4341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Paddock, George O. can be contacted via phone (501) 985-0616.

Contact Information

Primary practice address
21 Crestview Plz Jacksonville AR 72076-4341
Phone: (501) 985-0616
Fax: (501) 985-0715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C4362 Arkansas

Profile Details

NPI number 1407821374
LBN Legal business name Paddock, George O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Feb 24th, 2010 - 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 1407821374 NPPES
Arkansas MEDICAID 109545001

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