Bise, Roger Neal

Bise, Roger Neal is an sole proprietor health care provider with primary practice located at 2713 S 74Th St Suite 302, Fort Smith AR 72903-5170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Bise, Roger Neal can be contacted via phone (479) 478-8555.

Contact Information

Primary practice address
2713 S 74Th St Suite 302 Fort Smith AR 72903-5170
Phone: (479) 478-8555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X N-8072 Arkansas

Profile Details

NPI number 1649236852
LBN Legal business name Bise, Roger Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Nov 5th, 2009 - about 17 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 1649236852 NPPES
Arkansas MEDICAID 148093002
Arkansas Other 17633000000
Arkansas Other P00702260

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