Shirolyn Moffett M.D.,P.A.

LBN: Shirolyn Moffett M.D.,P.A.
Shirolyn Moffett M.D.,P.A. is an health care organization with primary practice located at 715 W Sherman Ave Suite D, Harrison AR 72601-2743. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Shirolyn Moffett M.D.,P.A. can be contacted via phone (870) 204-5129, or through Moffett, Shirolyn Ruth via phone (870) 204-5129.

Contact Information

Primary practice address
715 W Sherman Ave Suite D Harrison AR 72601-2743
Phone: (870) 204-5129
Fax: (870) 204-5131
Website:
Map and Directions
Authorized official contact:
Name: Moffett, Shirolyn Ruth Doctor of Medicine (MD)
Phone: (870) 204-5129

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X E0693 Arkansas

Profile Details

NPI number 1700106549
LBN Legal business name Shirolyn Moffett M.D.,P.A.
DBA Doing business as
Authorized official Moffett, Shirolyn Ruth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2010
Last updated Jun 3rd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700106549 NPPES
Arkansas MEDICAID 131508001

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