Rabideau, Dana P

Rabideau, Dana P is an individual health care provider with primary practice located at 1500 Dodson Ave Ste 280, Fort Smith AR 72901-5182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rabideau, Dana P can be contacted via phone (479) 709-7480.

Contact Information

Primary practice address
1500 Dodson Ave Ste 280 Fort Smith AR 72901-5182
Phone: (479) 709-7480
Fax: (479) 709-7479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X N6097 Arkansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 15018 Oklahoma

Profile Details

NPI number 1710974548
LBN Legal business name Rabideau, Dana P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Aug 23rd, 2010 - about 14 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 1710974548 NPPES
Arkansas MEDICAID 105851001
Arkansas MEDICAID 100221460A

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