South Ark Ear Nose &Throat Clinic P A

LBN: South Ark Ear Nose &Throat Clinic P A
South Ark Ear Nose &Throat Clinic P A is an health care organization with primary practice located at 1722 W 42Nd Ave , Pine Bluff AR 71603-7008. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Otolaryngology, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. South Ark Ear Nose &Throat Clinic P A can be contacted via phone (870) 535-5719, or through Shorts, Stephen Donald via phone (870) 535-5719.

Contact Information

Primary practice address
1722 W 42Nd Ave Pine Bluff AR 71603-7008
Phone: (870) 535-5719
Fax: (870) 536-1963
Website:
Map and Directions
Authorized official contact:
Name: Shorts, Stephen Donald Doctor of Medicine (MD)
Phone: (870) 535-5719

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MC1312 Arkansas
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MC1312 Arkansas
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MC1312 Arkansas
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A#283 Arkansas
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X A#283 Arkansas

Profile Details

NPI number 1356317440
LBN Legal business name South Ark Ear Nose &Throat Clinic P A
DBA Doing business as
Authorized official Shorts, Stephen Donald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 30th, 2019 - about 5 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 1356317440 NPPES
Arkansas MEDICAID 142932720
Arkansas Other 56924
Arkansas MEDICAID 103005702

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