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
Fax: (479) 587-1366
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790758761 NPPES
Arkansas MEDICAID 920005088
Arkansas MEDICAID 1790758761
Arkansas MEDICAID 100074280 A

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