Stone, Phillip S

Stone, Phillip S is an individual health care provider with primary practice located at 2302 College Ave , Conway AR 72034-6297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stone, Phillip S can be contacted via phone (501) 513-5793.

Contact Information

Primary practice address
2302 College Ave Conway AR 72034-6297
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C5240 Arkansas

Profile Details

NPI number 1619964772
LBN Legal business name Stone, Phillip S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 10th, 2007 - about 19 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 1619964772 NPPES
Arkansas MEDICAID 111533001

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