Scally, Nicole M.

Scally, Nicole M. is an sole proprietor health care provider with primary practice located at 2000 S Promenade Blvd Suite 202, Rogers AR 72758-9073. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Scally, Nicole M. can be contacted via phone (479) 282-2737.

Contact Information

Primary practice address
2000 S Promenade Blvd Suite 202 Rogers AR 72758-9073
Phone: (479) 282-2737
Fax: (479) 316-4072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2005-0737 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-5959 Arkansas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X E-5959 Arkansas

Profile Details

NPI number 1760521777
LBN Legal business name Scally, Nicole M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Dec 3rd, 2015 - about 9 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 1760521777 NPPES
Arkansas MEDICAID 176772001

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