Holder, Robert E.

Holder, Robert E. is an individual health care provider with primary practice located at 1000 Se 13Th Court , Bentonville AR 72712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holder, Robert E. can be contacted via phone (479) 273-9056.

Contact Information

Primary practice address
1000 Se 13Th Court Bentonville AR 72712
Phone: (479) 273-9056
Fax: (479) 273-6937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C4942 Arkansas

Profile Details

NPI number 1699723601
LBN Legal business name Holder, Robert E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 13th, 2011 - about 15 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 1699723601 NPPES
Arkansas MEDICAID 102135001

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