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Contact Information

BENTON EMERGENCY GROUP LLC
3000 MEDICAL CENTER PKWY
BENTONVILLE, AR72712-3217
 Phone: 800-893-9698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BENTON EMERGENCY GROUP LLC · (Female)

NPI # 1720187214
Status Active
Credentials
Entity Individual
Enumeration date 09/21/2006
Last updated 10/10/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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