Shotts, Culber Mack

Shotts, Culber Mack is an individual health care provider with primary practice located at 4000 Linwood Dr Suite A, Paragould AR 72450-7223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shotts, Culber Mack can be contacted via phone (870) 239-8503.

Contact Information

Primary practice address
4000 Linwood Dr Suite A Paragould AR 72450-7223
Phone: (870) 239-8503
Fax: (870) 240-2016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C5097 Arkansas

Profile Details

NPI number 1427011410
LBN Legal business name Shotts, Culber Mack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 31st, 2015 - about 11 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 1427011410 NPPES
Arkansas MEDICAID 102563001
Arkansas Other 13494000040

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