Tejada, Ruben
Tejada, Ruben is an sole proprietor health care provider with primary practice located at 5212 Village Pkwy Suite 9, Rogers AR 72758-8104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tejada, Ruben can be contacted via phone (479) 876-8460.Contact Information
Primary practice address
5212 Village Pkwy Suite 9
Rogers AR 72758-8104
Phone: (479) 876-8460
Fax: (479) 876-8470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E0881 | Arkansas |
Profile Details
| NPI number | 1053473231 |
|---|---|
| LBN Legal business name | Tejada, Ruben |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Oct 17th, 2013 - about 12 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 | 1053473231 | NPPES |
| Arkansas | MEDICAID | 129687001 |
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