Healthcare Provider Details

I. General information

NPI: 1316452816
Provider Name (Legal Business Name): BTW SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 12/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 SE WALTON BLVD STE 201
BENTONVILLE AR
72712-3768
US

IV. Provider business mailing address

1401 SE WALTON BLVD STE 201
BENTONVILLE AR
72712-3768
US

V. Phone/Fax

Practice location:
  • Phone: 479-271-2288
  • Fax: 855-714-9884
Mailing address:
  • Phone: 479-271-2288
  • Fax: 855-714-9884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMG01695
License Number StateAR

VIII. Authorized Official

Name: JAMES BURROW
Title or Position: MEMBER
Credential:
Phone: 479-271-2288