Phomakay, Von
Phomakay, Von is an individual health care provider with primary practice located at 5111 Rogers Ave Ste 40M, Fort Smith AR 72903-2047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phomakay, Von can be contacted via phone (479) 709-7440.Contact Information
Primary practice address
5111 Rogers Ave Ste 40M
Fort Smith AR 72903-2047
Phone: (479) 709-7440
Fax: (479) 709-7441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E0767 | Arkansas |
Profile Details
| NPI number | 1306833116 |
|---|---|
| LBN Legal business name | Phomakay, Von |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Aug 23rd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306833116 | NPPES |
| Oklahoma | MEDICAID | 100075480A | |
| Oklahoma | MEDICAID | 129386003 |
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