Schmidt, Michael J

Schmidt, Michael J is an sole proprietor health care provider with primary practice located at 5 Medical Park Dr Suite Gl-2, Benton AR 72015-3729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Schmidt, Michael J can be contacted via phone (501) 776-6093.

Contact Information

Primary practice address
5 Medical Park Dr Suite Gl-2 Benton AR 72015-3729
Phone: (501) 776-6093
Fax: (501) 776-6019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X N8431 Arkansas

Profile Details

NPI number 1629257266
LBN Legal business name Schmidt, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2007
Last updated Sep 22nd, 2014 - about 12 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 1629257266 NPPES
Arkansas Other 4095825 AETNA
Arkansas Other 5J267 AETNA
Arkansas Other 140650000 AETNA
Arkansas Other 1720037 AETNA
Arkansas MEDICAID 124391001 AETNA

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