Aderholt, Audie Ray
Aderholt, Audie Ray is an sole proprietor health care provider with primary practice located at 4301 W Markham St , Little Rock AR 72205-7101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Aderholt, Audie Ray can be contacted via phone (662) 902-9309.Contact Information
Primary practice address
4301 W Markham St
Little Rock AR 72205-7101
Phone: (662) 902-9309
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E-10611 | Arkansas |
Profile Details
| NPI number | 1366861601 |
|---|---|
| LBN Legal business name | Aderholt, Audie Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2014 |
| Last updated | Oct 4th, 2019 - about 7 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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