Smith, Phillip Ryan
Smith, Phillip Ryan is an individual health care provider with primary practice located at 2505 W Beebe Capps Expy , Searcy AR 72143-4909. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Phillip Ryan can be contacted via phone (501) 278-2800.Contact Information
Primary practice address
2505 W Beebe Capps Expy
Searcy AR 72143-4909
Phone: (501) 278-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-962 | Arkansas |
Profile Details
| NPI number | 1821643024 |
|---|---|
| LBN Legal business name | Smith, Phillip Ryan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2019 |
| Last updated | Mar 17th, 2021 - about 5 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 | 1821643024 | NPPES |
| Arkansas | MEDICAID | 261304795 |
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