Cubillo, Enrique
Cubillo, Enrique is an individual health care provider with primary practice located at 3205 W Main St , Russellville AR 72801-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cubillo, Enrique can be contacted via phone (479) 968-8279.Contact Information
Primary practice address
3205 W Main St
Russellville AR 72801-2301
Phone: (479) 968-8279
Fax: (479) 968-4331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | E2622 | Arkansas |
Profile Details
| NPI number | 1033125901 |
|---|---|
| LBN Legal business name | Cubillo, Enrique |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1033125901 | NPPES |
| Arkansas | Other | BCBS | BCBS PROVIDER NUMBER |
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