Phelps, Dawn Marie

Phelps, Dawn Marie is an individual health care provider with primary practice located at 1002 N Spring St , Harrison AR 72601-2918. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Phelps, Dawn Marie can be contacted via phone (870) 741-6373.

Contact Information

Primary practice address
1002 N Spring St Harrison AR 72601-2918
Phone: (870) 741-6373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 0101239262 Virginia
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X E-5341 Arkansas
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X E-5341 Arkansas

Profile Details

NPI number 1306048251
LBN Legal business name Phelps, Dawn Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jul 27th, 2021 - about 5 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 1306048251 NPPES
Arkansas MEDICAID 168755001

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