Preston, Mitchell Craig
Preston, Mitchell Craig is an individual health care provider with primary practice located at 613 N 2Nd St , Rogers AR 72756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Preston, Mitchell Craig can be contacted via phone (479) 878-1060.Contact Information
Primary practice address
613 N 2Nd St
Rogers AR 72756
Phone: (479) 878-1060
Fax: (479) 878-1070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19524 | Oklahoma |
Profile Details
| NPI number | 1417955766 |
|---|---|
| LBN Legal business name | Preston, Mitchell Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Nov 6th, 2023 - about 2 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 | 1417955766 | NPPES |
| Arizona | MEDICAID | 821753 |
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