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Contact Information

THE WEST CLINIC, PLLC
271 W POLK AVE
WEST MEMPHIS, AR72301-4228
 Phone: 870-735-5912
 Fax: 870-735-0507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THE WEST CLINIC PLLC · (Female)

NPI Number 1922350735
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2012
Last updated 12/14/2021 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 216539002
  • MS Medicaid 09013755
  • TN Medicaid 3704066
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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