Cordova, Frank

Cordova, Frank is an sole proprietor health care provider with primary practice located at 900 S Parker Haskell St , Benton AR 72015-8961. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Cordova, Frank can be contacted via phone (501) 615-7959.

Contact Information

Primary practice address
900 S Parker Haskell St Benton AR 72015-8961
Phone: (501) 615-7959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1053060350
LBN Legal business name Cordova, Frank
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2022
Last updated Mar 22nd, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053060350 NPPES
Arkansas MEDICAID 12022
Arkansas MEDICAID 35361
Arkansas MEDICAID ADECR

Popular Providers