Vellozo, Paul

Vellozo, Paul is an individual health care provider with primary practice located at 1309 West Main St Family Medical Center, Walnut Ridge AR 72476-0839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vellozo, Paul can be contacted via phone (870) 886-3211.

Contact Information

Primary practice address
1309 West Main St Family Medical Center Walnut Ridge AR 72476-0839
Phone: (870) 886-3211
Fax: (870) 886-9027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E0629 Arkansas

Profile Details

NPI number 1386744274
LBN Legal business name Vellozo, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Nov 17th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386744274 NPPES
Arkansas MEDICAID 128860001

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