Living Tree Pediatrics, Pllc

LBN: Living Tree Pediatrics, Pllc
Living Tree Pediatrics, Pllc is an health care organization with primary practice located at 1110 Se 30Th Street , Bentonville AR 72712-4290. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Living Tree Pediatrics, Pllc can be contacted via phone (479) 282-2966, or through Tate, Julie Lynette via phone (479) 282-2966.

Contact Information

Primary practice address
1110 Se 30Th Street Bentonville AR 72712-4290
Phone: (479) 282-2966
Fax: (479) 282-2967
Website:
Map and Directions
Authorized official contact:
Name: Tate, Julie Lynette Doctor of Medicine (MD)
Phone: (479) 282-2966

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E7529 Arkansas

Profile Details

NPI number 1396102679
LBN Legal business name Living Tree Pediatrics, Pllc
DBA Doing business as
Authorized official Tate, Julie Lynette Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2016
Last updated Mar 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396102679 NPPES
Arkansas MEDICAID 191183001
Arkansas MEDICAID 192425001

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