Phipps, Ronny Gene

Phipps, Ronny Gene is an individual health care provider with primary practice located at 331 Commercial St , Centerton AR 72719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phipps, Ronny Gene can be contacted via phone (479) 795-2167.

Contact Information

Primary practice address
331 Commercial St Centerton AR 72719
Phone: (479) 795-2167
Fax: (479) 795-2177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C5712 Arkansas

Profile Details

NPI number 1558477455
LBN Legal business name Phipps, Ronny Gene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Sep 15th, 2020 - 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 1558477455 NPPES
Arkansas MEDICAID 143748001
Arkansas MEDICAID 100180180A
Arkansas MEDICAID 1558477455

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