Tedder, Barry

Tedder, Barry is an individual health care provider with primary practice located at 201 E Oak Ave. , Jonesboro AR 72401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Tedder, Barry can be contacted via phone (870) 935-6729.

Contact Information

Primary practice address
201 E Oak Ave. Jonesboro AR 72401
Phone: (870) 935-6729
Fax: (870) 268-4408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X R3800 Arkansas

Profile Details

NPI number 1467457358
LBN Legal business name Tedder, Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 7th, 2023 - about last year

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 1467457358 NPPES
Arkansas Other R3800 STATE LICENSE
Arkansas MEDICAID 114604001 STATE LICENSE

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