Speed, Darrell Louie

Speed, Darrell Louie is an sole proprietor health care provider with primary practice located at 1808 W Main St , Russellville AR 72801-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Speed, Darrell Louie can be contacted via phone (479) 964-9118.

Contact Information

Primary practice address
1808 W Main St Russellville AR 72801-2724
Phone: (479) 964-9118
Fax: (479) 964-9491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X R3959 Arkansas

Profile Details

NPI number 1003882499
LBN Legal business name Speed, Darrell Louie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2006
Last updated Jul 8th, 2007 - about 18 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 1003882499 NPPES
Arkansas Other 52907 ARK. BCBS
Arkansas MEDICAID 115739001 ARK. BCBS

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