Kradel, Joseph C

Kradel, Joseph C is an individual health care provider with primary practice located at 2907 E Joyce Blvd , Fayetteville AR 72703-5011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kradel, Joseph C can be contacted via phone (479) 442-9900.

Contact Information

Primary practice address
2907 E Joyce Blvd Fayetteville AR 72703-5011
Phone: (479) 442-9900
Fax: (479) 442-9903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E1183 Arkansas

Profile Details

NPI number 1619080736
LBN Legal business name Kradel, Joseph C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Oct 1st, 2014 - about 12 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 1619080736 NPPES
Arkansas Other 5K345 BX INDIVIDUAL PROVIDER #
Arkansas MEDICAID 130872001 BX INDIVIDUAL PROVIDER #

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