Wilson, Cade Malone
Wilson, Cade Malone is an individual health care provider with primary practice located at 2100 E Highland Dr Ste 100 , Jonesboro AR 72401-5383. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilson, Cade Malone can be contacted via phone (870) 972-6040.Contact Information
Primary practice address
2100 E Highland Dr Ste 100
Jonesboro AR 72401-5383
Phone: (870) 972-6040
Fax: (870) 972-5337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2540 | Arkansas |
Profile Details
| NPI number | 1992716286 |
|---|---|
| LBN Legal business name | Wilson, Cade Malone |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Dec 20th, 2023 - about 2 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 | 1992716286 | NPPES |
| Arkansas | MEDICAID | 152190722 |
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