Vonlanthen, Maryelle Georgette
Vonlanthen, Maryelle Georgette is an individual health care provider with primary practice located at 1515 S Bowman Rd Suite B, Little Rock AR 72211-4207. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Vonlanthen, Maryelle Georgette can be contacted via phone (501) 228-7171.Contact Information
Primary practice address
1515 S Bowman Rd Suite B
Little Rock AR 72211-4207
Phone: (501) 228-7171
Fax: (501) 228-5462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C8512 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G9896 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | C8512 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | G9896 | Texas |
Profile Details
| NPI number | 1215907894 |
|---|---|
| LBN Legal business name | Vonlanthen, Maryelle Georgette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 10th, 2007 - about 17 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 | 1215907894 | NPPES |
| Arkansas | Other | C8512 | STATE LICENSE |
| Arkansas | Other | G9896 | STATE LICENSE |
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