Irvin, John D

Irvin, John D is an individual health care provider with primary practice located at 803 West Main , Mountain View AR 72560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Irvin, John D can be contacted via phone (870) 269-9800.

Contact Information

Primary practice address
803 West Main Mountain View AR 72560
Phone: (870) 269-9800
Fax: (870) 269-9614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E1421 Arkansas

Profile Details

NPI number 1871516336
LBN Legal business name Irvin, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 24th, 2010 - about 16 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 1871516336 NPPES
Arkansas Other 080188461 RAILROAD MEDICARE
Arkansas MEDICAID 132376001 RAILROAD MEDICARE
Arkansas Other 770223301 RAILROAD MEDICARE
Arkansas Other 17869000000 RAILROAD MEDICARE

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