Pickhardt, Mark G

Pickhardt, Mark G is an individual health care provider with primary practice located at 3302 N Northhills Blvd , Fayetteville AR 72703-4008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Pickhardt, Mark G can be contacted via phone (479) 582-3366.

Contact Information

Primary practice address
3302 N Northhills Blvd Fayetteville AR 72703-4008
Phone: (479) 582-3366
Fax: (479) 571-6572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C7319 Arkansas
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X C-7319 Arkansas

Profile Details

NPI number 1144275413
LBN Legal business name Pickhardt, Mark G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 21st, 2022 - about 4 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 1144275413 NPPES
Arkansas MEDICAID 119159001
Arkansas Other 54558

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