Loretta Depalo, M.D, P.A.

LBN: Loretta Depalo, M.D, P.A.
Loretta Depalo, M.D, P.A. is an health care organization with primary practice located at 1701 S Shackleford Rd , Little Rock AR 72211-4335. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as the primary health care specialty. Loretta Depalo, M.D, P.A. can be contacted via phone (501) 219-7904, or through Depalo, Loretta via phone (501) 219-7904.

Contact Information

Primary practice address
1701 S Shackleford Rd Little Rock AR 72211-4335
Phone: (501) 219-7904
Fax: (501) 219-7909
Website:
Map and Directions
Authorized official contact:
Name: Depalo, Loretta Doctor of Medicine (MD)
Phone: (501) 219-7904

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X Arkansas

Profile Details

NPI number 1659596633
LBN Legal business name Loretta Depalo, M.D, P.A.
DBA Doing business as
Authorized official Depalo, Loretta Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Oct 23rd, 2012 - about 14 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 1659596633 NPPES
Arkansas MEDICAID 125797001
Arkansas Other E0806

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