Sanderson, Marvin Bruce
Sanderson, Marvin Bruce is an sole proprietor health care provider with primary practice located at 500 S University Ave Ste 701 , Little Rock AR 72205-5309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sanderson, Marvin Bruce can be contacted via phone (501) 664-5119.Contact Information
Primary practice address
500 S University Ave Ste 701
Little Rock AR 72205-5309
Phone: (501) 664-5119
Fax: (501) 664-4209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C4641 | Arkansas |
Profile Details
| NPI number | 1700846870 |
|---|---|
| LBN Legal business name | Sanderson, Marvin Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Apr 21st, 2020 - about 5 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 | 1700846870 | NPPES |
| Arkansas | MEDICAID | 104566001 |
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