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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1700846870 NPPES
Arkansas MEDICAID 104566001

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