Paden, Tim

Paden, Tim is an individual health care provider with primary practice located at 405 Buttercup Dr , Mountain Home AR 72653-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Paden, Tim can be contacted via phone (870) 425-3030.

Contact Information

Primary practice address
405 Buttercup Dr Mountain Home AR 72653-2910
Phone: (870) 425-3030
Fax: (870) 508-8135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-7515 Arkansas

Profile Details

NPI number 1992761555
LBN Legal business name Paden, Tim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jan 24th, 2014 - about 10 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 1992761555 NPPES
Arkansas MEDICAID 119035001

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