Reid, Graham Mack
Reid, Graham Mack is an sole proprietor health care provider with primary practice located at 10816 Executive Center Dr Suite 101, Little Rock AR 72211-4384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Reid, Graham Mack can be contacted via phone (501) 221-3331.Contact Information
Primary practice address
10816 Executive Center Dr Suite 101
Little Rock AR 72211-4384
Phone: (501) 221-3331
Fax: (501) 221-3339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | C-5446 | Arkansas |
Profile Details
| NPI number | 1548230550 |
|---|---|
| LBN Legal business name | Reid, Graham Mack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Nov 18th, 2009 - about 15 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 | 1548230550 | NPPES |
| Arkansas | MEDICAID | 105171001 |
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