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NPI Code Detail

MEDICARE: ARKANSAS CENTER FOR PHYSICAL MEDICINE & REHABILITATION

MEDICARE: ARKANSAS CENTER FOR PHYSICAL MEDICINE & REHABILITATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NX0800XOrthopedic Chiropractor992AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1350052757OTHERARRAILROAD MEDICARE
857869OTHERARMEDICARE GROUP PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
259014OTHERARDR. BENNETT PIN
31619281185OTHERARNPI-DR MORSE
41093083271OTHERARDR. SETH WILSON NPI
515723OTHERARLICENSE-DR. DAVID MORSE
615924OTHERARDR. SETH WILSON LICENSE
71801872304OTHERARGROUP NPI
95AN27OTHERARDR. SETH WILSON UPIN
10T20518OTHERARDR. BENNETT UPIN

General Provider Information

NPI Number : 1801872304
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARKANSAS CENTER FOR PHYSICAL MEDICINE & REHABILITATION
Provider Business Mailing Address
First Line : 636 W BROADWAY ST
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-5526
Country : US
Telephone Number : 501-374-1153
Fax Number : 501-374-6213
Provider Business Practice Location Address
First Line : 636 W BROADWAY ST
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-5526
Country : US
Telephone Number : 501-374-1153
Fax Number : 501-374-6213
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. BRANDLYN MICHELLE FRENSLEY
Credential :
Telephone Number : 501-374-1153
Provider Enumeration Date : 12/16/2005
Last Update Date : 01/04/2012

Similar Medicare Providers

1407832801 — STEVEN FREDERICK BENNETT DC
Practice Location Address:
636 W BROADWAY ST
NORTH LITTLE ROCK, AR
72114-5526
Practice Phone: 501-374-1153
Practice Fax: 501-374-6213
1033222740 — KRISTIN MARIE BURDETT MASSAGE THERAPIST
Practice Location Address:
636 W BROADWAY ST
NORTH LITTLE ROCK, AR
72114-5526
Practice Phone: 501-374-1153
Practice Fax: 501-374-6213
1790821890 — MRS. FELICIA ANNA CARRILLO LMT
Practice Location Address:
636 W BROADWAY ST
NORTH LITTLE ROCK, AR
72114-5526
Practice Phone: 501-374-1153
Practice Fax: 501-374-6213
1366632887 — HEALTH MANAGEMENT OF ARKANSAS
Practice Location Address:
636 W BROADWAY ST
NORTH LITTLE ROCK, AR
72114-5526
Practice Phone: 501-374-1153
Practice Fax: 501-374-6213
1962670984 — NICOLE JOY HURTT LMT
Practice Location Address:
636 W BROADWAY ST
NORTH LITTLE ROCK, AR
72114-5526
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Practice Fax: 501-374-6213
1649684804 — MR. RODRICK JAMES CRUTCHFIELD I
Practice Location Address:
632 W BROADWAY ST
NORTH LITTLE ROCK, AR
72114-5526
Practice Phone: 501-955-2674
Practice Fax:

Directions to “ARKANSAS CENTER FOR PHYSICAL MEDICINE & REHABILITATION ” Practice Location

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