Gold, Adam Craig

Gold, Adam Craig is an individual health care provider with primary practice located at 5707 Jenny Lind Rd , Fort Smith AR 72908-7435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gold, Adam Craig can be contacted via phone (479) 452-9416.

Contact Information

Primary practice address
5707 Jenny Lind Rd Fort Smith AR 72908-7435
Phone: (479) 452-9416
Fax: (479) 484-0829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E1396 Arkansas

Profile Details

NPI number 1518912138
LBN Legal business name Gold, Adam Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 8th, 2019 - about 6 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 1518912138 NPPES
Oklahoma Other 100038450A OK MEDICAID
Oklahoma MEDICAID 132785001 OK MEDICAID

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