Ledbetter, Johnny R.

Ledbetter, Johnny R. is an individual health care provider with primary practice located at 9600 Baptist Health Dr Suite 360, Little Rock AR 72205-6326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ledbetter, Johnny R. can be contacted via phone (501) 227-6727.

Contact Information

Primary practice address
9600 Baptist Health Dr Suite 360 Little Rock AR 72205-6326
Phone: (501) 227-6727
Fax: (501) 223-9462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E2115 Arkansas

Profile Details

NPI number 1912987561
LBN Legal business name Ledbetter, Johnny R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Dec 20th, 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 1912987561 NPPES
Arkansas MEDICAID 138384001

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