Youmans, Roger W

Youmans, Roger W is an sole proprietor health care provider with primary practice located at 451 S Holly St , Siloam Springs AR 72761-3018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Youmans, Roger W can be contacted via phone (479) 524-3141.

Contact Information

Primary practice address
451 S Holly St Siloam Springs AR 72761-3018
Fax: (479) 524-3090
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E0638 Arkansas

Profile Details

NPI number 1568414704
LBN Legal business name Youmans, Roger W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jul 9th, 2010 - about 16 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 1568414704 NPPES
Arkansas Other 5J805 BCBS AR
Arkansas MEDICAID 100108430A BCBS AR
Arkansas MEDICAID 127823001 BCBS AR
Arkansas Other 731548933001 BCBS AR

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