Haynes, Walter Ducote
Haynes, Walter Ducote is an sole proprietor health care provider with primary practice located at 12800 County Farm Road , Little Rock AR 72223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Haynes, Walter Ducote can be contacted via phone (501) 425-9139.Contact Information
Primary practice address
12800 County Farm Road
Little Rock AR 72223
Phone: (501) 425-9139
Fax: (501) 868-9677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | C3188 | Arkansas |
Profile Details
| NPI number | 1275793457 |
|---|---|
| LBN Legal business name | Haynes, Walter Ducote |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2008 |
| Last updated | Jun 11th, 2008 - about 17 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 | 1275793457 | NPPES |
| Arkansas | MEDICAID | 104652001 |
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