Ross, Joseph Guard
Ross, Joseph Guard is an individual health care provider with primary practice located at 60 E Monte Painter Drive , Fayetteville AR 72703-4005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Ross, Joseph Guard can be contacted via phone (479) 348-7170.Contact Information
Primary practice address
60 E Monte Painter Drive
Fayetteville AR 72703-4005
Phone: (479) 348-7170
Fax: (479) 587-1366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | C 5667 | Arkansas |
Profile Details
| NPI number | 1790758761 |
|---|---|
| LBN Legal business name | Ross, Joseph Guard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jun 16th, 2020 - about 6 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 | 1790758761 | NPPES |
| Arkansas | MEDICAID | 920005088 | |
| Arkansas | MEDICAID | 1790758761 | |
| Arkansas | MEDICAID | 100074280 A |
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