Elam, Garrett Nmi
Elam, Garrett Nmi is an sole proprietor health care provider with primary practice located at 1703 N Buerkle St , Stuttgart AR 72160-3153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Elam, Garrett Nmi can be contacted via phone (870) 673-3511.Contact Information
Primary practice address
1703 N Buerkle St
Stuttgart AR 72160-3153
Phone: (870) 673-3511
Fax: (870) 672-6869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 36545 | Missouri |
Profile Details
| NPI number | 1871522953 |
|---|---|
| LBN Legal business name | Elam, Garrett Nmi |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Jun 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871522953 | NPPES |
| Arkansas | Other | R3929 | LIC |
| Arkansas | MEDICAID | 115525003 | LIC |
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