Holmes, Adele B
Holmes, Adele B is an individual health care provider with primary practice located at 2301 Springhill Road Suite 200, Benton AR 72019. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Holmes, Adele B can be contacted via phone (501) 315-0078.Contact Information
Primary practice address
2301 Springhill Road Suite 200
Benton AR 72019
Phone: (501) 315-0078
Fax: (501) 943-3016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E0670 | Arkansas |
Profile Details
| NPI number | 1154383958 |
|---|---|
| LBN Legal business name | Holmes, Adele B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jan 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154383958 | NPPES |
| Arkansas | Other | 5902223 | AETNA PROVIDER ID |
| Arkansas | MEDICAID | 129511001 | AETNA PROVIDER ID |
| Arkansas | Other | 5K100 | AETNA PROVIDER ID |
| Arkansas | Other | 1220059 | AETNA PROVIDER ID |
| Arkansas | Other | 16838000000 | AETNA PROVIDER ID |
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