Sisco, Charles Paul

Sisco, Charles Paul is an sole proprietor health care provider with primary practice located at 17994 Habberton Rd , Fayetteville AR 72703-9117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Sisco, Charles Paul can be contacted via phone (479) 445-6550.

Contact Information

Primary practice address
17994 Habberton Rd Fayetteville AR 72703-9117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X C4144 Arkansas

Profile Details

NPI number 1124021639
LBN Legal business name Sisco, Charles Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Jul 13th, 2007 - about 17 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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