Wilbur, Perry Lee
Wilbur, Perry Lee is an sole proprietor health care provider with primary practice located at 2601 Gene George Blvd , Springdale AR 72762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wilbur, Perry Lee can be contacted via phone (479) 725-6880.Contact Information
Primary practice address
2601 Gene George Blvd
Springdale AR 72762
Phone: (479) 725-6880
Fax: (479) 725-6582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C-7167 | Arkansas |
Profile Details
| NPI number | 1811985302 |
|---|---|
| LBN Legal business name | Wilbur, Perry Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jun 21st, 2018 - about 6 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 | 1811985302 | NPPES |
| Arkansas | MEDICAID | 115794001 | |
| Arkansas | Other | 157490000 | |
| Arkansas | Other | 53356 | |
| Arkansas | MEDICAID | 122523002 |
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