Smith, Charles Edward
Smith, Charles Edward is an individual health care provider with primary practice located at 1800 N Reynolds Rd Ste 8 , Bryant AR 72022-2525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Charles Edward can be contacted via phone (501) 746-0818.Contact Information
Primary practice address
1800 N Reynolds Rd Ste 8
Bryant AR 72022-2525
Phone: (501) 746-0818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C6243 | Arkansas |
Profile Details
| NPI number | 1972617280 |
|---|---|
| LBN Legal business name | Smith, Charles Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Nov 11th, 2023 - about 2 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 | 1972617280 | NPPES |
| Arkansas | MEDICAID | 110525001 | |
| Arkansas | Other | C-6243 |
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