Whaley, Stephen Allen
Whaley, Stephen Allen is an sole proprietor health care provider with primary practice located at 701 S Pulaski St , Little Rock AR 72201-3926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Whaley, Stephen Allen can be contacted via phone (501) 682-6223.Contact Information
Primary practice address
701 S Pulaski St
Little Rock AR 72201-3926
Phone: (501) 682-6223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C-5107 | Arkansas |
Profile Details
| NPI number | 1992716948 |
|---|---|
| LBN Legal business name | Whaley, Stephen Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992716948 | NPPES |
| Arkansas | MEDICAID | 105168001 | |
| Arkansas | Other | 55609 |
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