Churchill, David A

Churchill, David A is an individual health care provider with primary practice located at 3211 N Northhills Blvd Suite 110, Fayetteville AR 72703-4007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Churchill, David A can be contacted via phone (479) 571-4338.

Contact Information

Primary practice address
3211 N Northhills Blvd Suite 110 Fayetteville AR 72703-4007
Phone: (479) 571-4338
Fax: (479) 571-4015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X C6809 Arkansas

Profile Details

NPI number 1023072808
LBN Legal business name Churchill, David A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 7th, 2023 - about 3 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 1023072808 NPPES
Arkansas Other 1670494 UNITED HEALTHCARE
Arkansas Other 122050000 UNITED HEALTHCARE
Arkansas MEDICAID 111127001 UNITED HEALTHCARE
Arkansas Other 4567131 UNITED HEALTHCARE
Arkansas Other C6809 UNITED HEALTHCARE
Arkansas MEDICAID 100077630A UNITED HEALTHCARE
Arkansas MEDICAID 204813000 UNITED HEALTHCARE
Arkansas Other A023 UNITED HEALTHCARE

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