Stillwell, Mark L

Stillwell, Mark L is an sole proprietor health care provider with primary practice located at 2900 Medical Center Parkway Suite 240A, Bentonville AR 72712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Stillwell, Mark L can be contacted via phone (479) 553-2121.

Contact Information

Primary practice address
2900 Medical Center Parkway Suite 240A Bentonville AR 72712
Phone: (479) 553-2121
Fax: (479) 553-2916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X N7411 Arkansas

Profile Details

NPI number 1568459451
LBN Legal business name Stillwell, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Nov 16th, 2015 - about 11 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 1568459451 NPPES
Arkansas MEDICAID 100123480A
Arkansas MEDICAID 114655001

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