Wells, Gary B

Wells, Gary B is an sole proprietor health care provider with primary practice located at 624 Hospital Drive , Mountain Home AR 72653-2915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Wells, Gary B can be contacted via phone (870) 424-2200.

Contact Information

Primary practice address
624 Hospital Drive Mountain Home AR 72653-2915
Phone: (870) 424-2200
Fax: (870) 424-6616
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X N7796 Arkansas
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X N-7796 Arkansas

Profile Details

NPI number 1104879964
LBN Legal business name Wells, Gary B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Jun 6th, 2016 - about 9 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 1104879964 NPPES
Arkansas MEDICAID 115858001

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