Pemberton, John D
Pemberton, John D is an individual health care provider with primary practice located at 4301 W Markham St # 523 , Little Rock AR 72205-7101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Pemberton, John D can be contacted via phone (501) 686-8000.Contact Information
Primary practice address
4301 W Markham St # 523
Little Rock AR 72205-7101
Phone: (501) 686-8000
Fax: (501) 526-6780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | E-6864 | Arkansas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E-6864 | Arkansas |
Profile Details
| NPI number | 1528278322 |
|---|---|
| LBN Legal business name | Pemberton, John D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Aug 21st, 2017 - about 8 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 | 1528278322 | NPPES |
| Arkansas | MEDICAID | 186865003 |
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