NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

MAIN STREET MEDICAL CLINIC, P.A.
722 N MAIN ST
BENTON, AR72015-3337
 Phone: 501-315-0059
 Fax: 501-315-1320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MAIN STREET MEDICAL CLINIC PA · (Female)

NPI Number 1841298791
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2005
Last updated 05/20/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # MC-2252
  • AR Medicaid 150521002
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.

Reviews for MAIN STREET MEDICAL CLINIC, P.A.

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for MAIN STREET MEDICAL CLINIC, P.A.
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
ARKANSAS WELLNESS ASSOCIATES LLC
10700 N RODNEY PARHAM ROAD, SUITE C11
LITTLE ROCK, AR
BRIAN BEAN, MD
#2 ST VINCENT CIRCLE
LITTLE ROCK, AR
BEN D JOHNSON, MD
500 S UNIVERSITY
LITTLE ROCK, AR
DAVID R SOSNOFF, DO
9601 BAPTIST HEALTH DR STE 970
LITTLE ROCK, AR
VERONICA A PINTO MIRANDA, MD
4301 W MARKHAM ST
LITTLE ROCK, AR
DUSTIN E WILLIFORD, MD
1 CHILDRENS WAY # 512-8
LITTLE ROCK, AR
JOSHUA A DAILY, MD
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR
MARKUS S RENNO, MD, MPH
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR
BRITTNEY HARRIS
1 CHILDRENS WAY # 653
LITTLE ROCK, AR
SARAH K PASSARELLO, MD
#1 CHILDREN'S WAY, SLOT ACH 512-19A
LITTLE ROCK, AR

  View all Doctors & Physicians
v2.403