Duffourc, Rene Charles

Duffourc, Rene Charles is an individual health care provider with primary practice located at 1 Park Dr Suite C, Holiday Island AR 72631-9216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Duffourc, Rene Charles can be contacted via phone (479) 363-9174.

Contact Information

Primary practice address
1 Park Dr Suite C Holiday Island AR 72631-9216
Phone: (479) 363-9174
Fax: (479) 363-9175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E-6696 Arkansas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X E-6696 Arkansas

Profile Details

NPI number 1720209588
LBN Legal business name Duffourc, Rene Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Mar 12th, 2013 - about 12 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 1720209588 NPPES
Arkansas MEDICAID 185967001
Arkansas Other 431560263

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