Smith, Arnold Bouchard
Smith, Arnold Bouchard is an individual health care provider with primary practice located at 60 E Monte Painter Dr , Fayetteville AR 72703-4014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Smith, Arnold Bouchard can be contacted via phone (479) 361-2585.Contact Information
Primary practice address
60 E Monte Painter Dr
Fayetteville AR 72703-4014
Phone: (479) 361-2585
Fax: (479) 571-1986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | E3674 | Arkansas |
Profile Details
| NPI number | 1346213311 |
|---|---|
| LBN Legal business name | Smith, Arnold Bouchard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Mar 30th, 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 | 1346213311 | NPPES |
| Missouri | MEDICAID | 1346213311 | |
| Missouri | MEDICAID | 150258001 | |
| Missouri | MEDICAID | 200135910 A |
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