Smith, Philip Allan

Smith, Philip Allan is an individual health care provider with primary practice located at 800 Fair Park Blvd , Little Rock AR 72204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Smith, Philip Allan can be contacted via phone (501) 604-6900.

Contact Information

Primary practice address
800 Fair Park Blvd Little Rock AR 72204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21224 Mississippi
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X E-5604 Arkansas

Profile Details

NPI number 1285835850
LBN Legal business name Smith, Philip Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Jan 11th, 2019 - about 6 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 1285835850 NPPES
Arkansas MEDICAID 171406001

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