Stewart, Casey D

Stewart, Casey D is an individual health care provider with primary practice located at 4900 Kelley Highway , Fort Smith AR 72904-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stewart, Casey D can be contacted via phone (479) 785-5700.

Contact Information

Primary practice address
4900 Kelley Highway Fort Smith AR 72904-5000
Phone: (479) 785-5700
Fax: (479) 785-5708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E2074 Arkansas

Profile Details

NPI number 1063435444
LBN Legal business name Stewart, Casey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 22nd, 2010 - about 16 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 1063435444 NPPES
Arkansas MEDICAID 137393001
Arkansas MEDICAID 100075030A
Arkansas Other 5L204

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