Depalo, Loretta

Depalo, Loretta is an individual health care provider with primary practice located at 4300 W 7Th St , Little Rock AR 72205-5446. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Depalo, Loretta can be contacted via phone (501) 257-7502.

Contact Information

Primary practice address
4300 W 7Th St Little Rock AR 72205-5446
Phone: (501) 257-7502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C7914 Arkansas

Profile Details

NPI number 1962457390
LBN Legal business name Depalo, Loretta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Feb 1st, 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 1962457390 NPPES
Arkansas Other 1962457390 BCBS
Arkansas MEDICAID 125797001 BCBS

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