Diffine, David Arthur

Diffine, David Arthur is an individual health care provider with primary practice located at 1100 Medical Dr Suite C, Blytheville AR 72315-1425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diffine, David Arthur can be contacted via phone (870) 824-2809.

Contact Information

Primary practice address
1100 Medical Dr Suite C Blytheville AR 72315-1425
Phone: (870) 824-2809
Fax: (870) 762-0731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000148413 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-3767 Arkansas

Profile Details

NPI number 1679576631
LBN Legal business name Diffine, David Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 7th, 2024 - about 2 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 1679576631 NPPES
Arkansas MEDICAID 150606001
Arkansas MEDICAID 205143001

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