Stewart, Garry Leroy
Stewart, Garry Leroy is an individual health care provider with primary practice located at 1545 Hogan Lane , Conway AR 72034-1349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stewart, Garry Leroy can be contacted via phone (501) 513-1225.Contact Information
Primary practice address
1545 Hogan Lane
Conway AR 72034-1349
Phone: (501) 513-1225
Fax: (501) 513-1228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E3431 | Arkansas |
Profile Details
| NPI number | 1841293537 |
|---|---|
| LBN Legal business name | Stewart, Garry Leroy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jan 15th, 2010 - about 14 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 | 1841293537 | NPPES |
| Arkansas | MEDICAID | 148117001 |
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