Powell, Mark Wilson

Powell, Mark Wilson is an sole proprietor health care provider with primary practice located at 3733 N Business Dr Suite 102, Fayetteville AR 72703-5203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Powell, Mark Wilson can be contacted via phone (479) 582-4647.

Contact Information

Primary practice address
3733 N Business Dr Suite 102 Fayetteville AR 72703-5203
Fax: (479) 582-4660
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X E1304 Arkansas

Profile Details

NPI number 1992762629
LBN Legal business name Powell, Mark Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Sep 4th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992762629 NPPES
Arkansas MEDICAID 132239001

Popular Providers