Wahman, Gerald Eugene

Wahman, Gerald Eugene is an individual health care provider with primary practice located at 5500 Ellsworth Rd. , Fort Smith AR 72903-3222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wahman, Gerald Eugene can be contacted via phone (479) 242-2411.

Contact Information

Primary practice address
5500 Ellsworth Rd. Fort Smith AR 72903-3222
Fax: (479) 242-2412
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X R1930 Arkansas

Profile Details

NPI number 1619929346
LBN Legal business name Wahman, Gerald Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Apr 1st, 2016 - about 8 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 1619929346 NPPES
Arkansas MEDICAID 105683001
Arkansas Other 55442

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