Garrett-Shaver, Martha
Garrett-Shaver, Martha is an individual health care provider with primary practice located at 620 W Grove St Ste 202 , El Dorado AR 71730-4425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Garrett-Shaver, Martha can be contacted via phone (870) 875-5577.Contact Information
Primary practice address
620 W Grove St Ste 202
El Dorado AR 71730-4425
Phone: (870) 875-5577
Fax: (870) 875-5589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E3280 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-3280 | Arkansas |
Profile Details
| NPI number | 1740274448 |
|---|---|
| LBN Legal business name | Garrett-Shaver, Martha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Feb 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740274448 | NPPES |
| Arkansas | MEDICAID | 149393001 |
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