Shaddox, Truman Stephen
Shaddox, Truman Stephen is an individual health care provider with primary practice located at 12 E Appleby Rd Ste 101, Fayetteville AR 72703-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shaddox, Truman Stephen can be contacted via phone (479) 463-4444.Contact Information
Primary practice address
12 E Appleby Rd Ste 101
Fayetteville AR 72703-3901
Phone: (479) 463-4444
Fax: (479) 463-4499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | C-4757 | Arkansas |
Profile Details
| NPI number | 1649236951 |
|---|---|
| LBN Legal business name | Shaddox, Truman Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Apr 22nd, 2011 - about 13 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 | 1649236951 | NPPES |
| Arkansas | MEDICAID | 106393001 |
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