Love, Mikeal Robert

Love, Mikeal Robert is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Love, Mikeal Robert can be contacted via phone (479) 443-4301.

Contact Information

Primary practice address
1100 N College Ave Fayetteville AR 72703-1944
Phone: (479) 443-4301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X H7322 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207VH0002X E-13080 Arkansas

Profile Details

NPI number 1891788428
LBN Legal business name Love, Mikeal Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Sep 26th, 2023 - about 3 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 1891788428 NPPES
Texas Other TXB118821 MEDICARE PTAN

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