Ladd, Dale
Ladd, Dale is an sole proprietor health care provider with primary practice located at 1119 N Saint Louis , Batesville AR 72501-9458. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ladd, Dale can be contacted via phone (870) 793-6857.Contact Information
Primary practice address
1119 N Saint Louis
Batesville AR 72501-9458
Phone: (870) 793-6857
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | AR2425 | Arkansas |
Profile Details
| NPI number | 1508910167 |
|---|---|
| LBN Legal business name | Ladd, Dale |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Mar 4th, 2020 - about 6 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 | 1508910167 | NPPES |
| Arkansas | MEDICAID | 127707722 | |
| Arkansas | Other | 48815 | |
| Arkansas | MEDICAID | 126161722 |
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