Wrinkles, Brock Harrison

Wrinkles, Brock Harrison is an sole proprietor health care provider with primary practice located at 1801 Central Ave Ste A , Hot Springs AR 71901-6800. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Wrinkles, Brock Harrison can be contacted via phone (501) 623-5598.

Contact Information

Primary practice address
1801 Central Ave Ste A Hot Springs AR 71901-6800
Phone: (501) 623-5598
Fax: (501) 623-5516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PT2017-010 Arkansas
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X PA-720 Arkansas

Profile Details

NPI number 1558809475
LBN Legal business name Wrinkles, Brock Harrison
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2017
Last updated Mar 21st, 2023 - about last year

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 1558809475 NPPES
Other 1139067 NCCPA
Other PA-720 NCCPA

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