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Contact Information

LOREN DEPUTY
408 N 1ST ST
GLENWOOD, AR71943-9250
 Phone: 870-356-1556
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LOREN DEPUTY · (Female)

NPI # 1467984799
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2017
Last updated 10/14/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # E13053
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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