Adkins, Johnny P

Adkins, Johnny P is an individual health care provider with primary practice located at 3053 N College Avenue , Fayetteville AR 72703. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Adkins, Johnny P can be contacted via phone (479) 463-2000.

Contact Information

Primary practice address
3053 N College Avenue Fayetteville AR 72703
Phone: (479) 463-2000
Fax: (479) 442-4518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X C5262 Arkansas

Profile Details

NPI number 1164472908
LBN Legal business name Adkins, Johnny P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Mar 25th, 2008 - about 18 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 1164472908 NPPES
Arkansas Other 50052 BCBS
Arkansas MEDICAID 106372001 BCBS

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