Perry, Bobby Dean

Perry, Bobby Dean is an individual health care provider with primary practice located at 701 N University Ave Suite 203, Little Rock AR 72205-2936. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Perry, Bobby Dean can be contacted via phone (501) 664-2434.

Contact Information

Primary practice address
701 N University Ave Suite 203 Little Rock AR 72205-2936
Phone: (501) 664-2434
Fax: (501) 907-7768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C7732 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X C-7732 Arkansas

Profile Details

NPI number 1528064821
LBN Legal business name Perry, Bobby Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 2nd, 2015 - about 9 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 1528064821 NPPES
Arkansas MEDICAID 125279001

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