Provisor, Arthur J
Provisor, Arthur J is an individual health care provider with primary practice located at 1800 10Th Ave , Columbus GA 31901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Provisor, Arthur J can be contacted via phone (706) 571-1120.Contact Information
Primary practice address
1800 10Th Ave
Columbus GA 31901
Phone: (706) 571-1120
Fax: (706) 660-1603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 047358 | Georgia |
Profile Details
| NPI number | 1902976152 |
|---|---|
| LBN Legal business name | Provisor, Arthur J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Aug 6th, 2018 - about 7 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 | 1902976152 | NPPES |
| Georgia | MEDICAID | 00834655B |
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