Pesnell, Larkus

Pesnell, Larkus is an individual health care provider with primary practice located at 1127 Main St , Vilonia AR 72173-9525. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Pesnell, Larkus can be contacted via phone (501) 796-6740.

Contact Information

Primary practice address
1127 Main St Vilonia AR 72173-9525
Phone: (501) 796-6740
Fax: (501) 796-6744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C4135 Arkansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X C-4135 Arkansas

Profile Details

NPI number 1033193966
LBN Legal business name Pesnell, Larkus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jan 3rd, 2018 - about 8 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 1033193966 NPPES
Oklahoma MEDICAID 100081520A
Oklahoma MEDICAID 106481001
Oklahoma Other 770119701

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