Healthcare Provider Details

I. General information

NPI: 1174063846
Provider Name (Legal Business Name): VERITY REVENUE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2017
Last Update Date: 03/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 ISAACS ORCHARD RD SUITE 210
SPRINGDALE AR
72762-6545
US

IV. Provider business mailing address

2256 W EIFFEL XING
FAYETTEVILLE AR
72704-7553
US

V. Phone/Fax

Practice location:
  • Phone: 479-301-8010
  • Fax:
Mailing address:
  • Phone: 479-301-8010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: MR. JUSTIN M. RAINS
Title or Position: GENERAL COUNSEL
Credential: J.D.
Phone: 479-301-8010