Conner, George
Conner, George is an sole proprietor health care provider with primary practice located at 902 Holiday Dr Ste 101, Forrest City AR 72335-9183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conner, George can be contacted via phone (870) 630-1583.Contact Information
Primary practice address
902 Holiday Dr Ste 101
Forrest City AR 72335-9183
Phone: (870) 630-1583
Fax: (870) 630-1362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R3762 | Arkansas |
Profile Details
| NPI number | 1063460335 |
|---|---|
| LBN Legal business name | Conner, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Jan 13th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063460335 | NPPES |
| Arkansas | MEDICAID | 113530001 |
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