Shaddox, Truman Stephen
Shaddox, Truman Stephen is an individual health care provider with primary practice located at 12 E Appleby Rd Ste 101, Fayetteville AR 72703-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shaddox, Truman Stephen can be contacted via phone (479) 463-4444.Contact Information
Primary practice address
12 E Appleby Rd Ste 101
Fayetteville AR 72703-3901
Phone: (479) 463-4444
Fax: (479) 463-4499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | C-4757 | Arkansas |
Profile Details
| NPI number | 1649236951 |
|---|---|
| LBN Legal business name | Shaddox, Truman Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Apr 22nd, 2011 - about 15 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 | 1649236951 | NPPES |
| Arkansas | MEDICAID | 106393001 |
Popular Providers
-
Buchanan, Christopher T
1209 Medical Plaza Ct , Granbury TX 76048-5684 -
Higginbothom, William E.
1300 E Zion Rd , Fayetteville AR 72703-5015 -
Jackson, Charles Mark
3 E Appleby Rd Ste 201 , Fayetteville AR 72703-3158 -
Bakule, Paul T
787 37Th St Ste E130, Vero Beach FL 32960-7313 -
Fairchild, William Vernon
1100 N College Ave , Fayetteville AR 72703-1944 -
Monnig, Jack A
2845 W Andrew Johnson Hwy , Morristown TN 37814-3216 -
Kilambi, Nirmal K
1300 E Zion Rd , Fayetteville AR 72703-5015 -
Wilson, Michael R
1300 E Zion Rd , Fayetteville AR 72703-5015