Conover, Randy
Conover, Randy is an individual health care provider with primary practice located at 101 Sun Meadow Dr , Centerton AR 72719-9610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conover, Randy can be contacted via phone (479) 795-0426.Contact Information
Primary practice address
101 Sun Meadow Dr
Centerton AR 72719-9610
Phone: (479) 795-0426
Fax: (479) 795-0425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E2837 | Arkansas |
Profile Details
| NPI number | 1003802828 |
|---|---|
| LBN Legal business name | Conover, Randy |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Sep 3rd, 2020 - about 6 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 | 1003802828 | NPPES |
| Arkansas | MEDICAID | 143769003 |
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