The Shot Clinic, Llc

LBN: The Shot Clinic, Llc
The Shot Clinic, Llc is an health care organization with primary practice located at 10720 N Rodney Parham Rd Suite B5, Little Rock AR 72212-4177. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. The Shot Clinic, Llc can be contacted via phone (501) 225-7468, or through Wilson, Fred E via phone (501) 225-7468.

Contact Information

Primary practice address
10720 N Rodney Parham Rd Suite B5 Little Rock AR 72212-4177
Fax: (501) 224-1834
Website:
Authorized official contact:
Name: Wilson, Fred E Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X C-5114 Arkansas

Profile Details

NPI number 1275960155
LBN Legal business name The Shot Clinic, Llc
DBA Doing business as
Authorized official Wilson, Fred E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2013
Last updated Oct 9th, 2013 - about 11 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.

Request for update

Popular Providers