Healthcare Provider Details

I. General information

NPI: 1992577746
Provider Name (Legal Business Name): AR BONE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MALVERN AVE STE 140
HOT SPRINGS AR
71901-6378
US

IV. Provider business mailing address

1401 MALVERN AVE STE 140
HOT SPRINGS AR
71901-6378
US

V. Phone/Fax

Practice location:
  • Phone: 501-658-9911
  • Fax:
Mailing address:
  • Phone: 501-658-9911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471B0102X
TaxonomyBone Densitometry Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANDREA R WHISENHUNT
Title or Position: OWNER
Credential: R.T.(R)(BD)(ARRT)
Phone: 501-359-3930