Smith, Adam Ryan
Smith, Adam Ryan is an individual health care provider with primary practice located at 800 Fair Park Blvd , Little Rock AR 72204-1720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Smith, Adam Ryan can be contacted via phone (501) 663-3647.Contact Information
Primary practice address
800 Fair Park Blvd
Little Rock AR 72204-1720
Phone: (501) 663-3647
Fax: (501) 666-9653
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 208600000X | Arkansas |
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | E-10568 | Arkansas |
Profile Details
NPI number | 1306163779 |
---|---|
LBN Legal business name | Smith, Adam Ryan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2010 |
Last updated | Dec 3rd, 2021 - about 3 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 | 1306163779 | NPPES |
Arkansas | Other | 581944YQCR | MEDICARE PTAN |
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