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:
Authorized official contact:
Name: Shorts, Stephen Donald Doctor of Medicine (MD)
Phone: (870) 535-5719
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356317440 | NPPES |
| Arkansas | MEDICAID | 142932720 | |
| Arkansas | Other | 56924 | |
| Arkansas | MEDICAID | 103005702 |
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