Clardy, Bryan Hollan

Clardy, Bryan Hollan is an individual health care provider with primary practice located at 1301 S E St , Fort Smith AR 72901-4716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clardy, Bryan Hollan can be contacted via phone (479) 785-2431.

Contact Information

Primary practice address
1301 S E St Fort Smith AR 72901-4716
Phone: (479) 785-2431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-2745 Arkansas

Profile Details

NPI number 1326042037
LBN Legal business name Clardy, Bryan Hollan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
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 1326042037 NPPES
Other 7848374 AETNA
MEDICAID 100143000A AETNA
MEDICAID 1637041 AETNA
Other 2220866 AETNA
Other 2674666001 AETNA
Other 5M245 AETNA
Other 02090005200 AETNA
MEDICAID 02450298 AETNA
MEDICAID 146720001 AETNA
Other 080184879 AETNA

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