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Contact Information

BENTON C LOGGAINS, P.A.-C
3501 W E KNIGHT DRIVE
FORT SMITH, AR72903
 Phone: 479-709-6700
 Fax: 479-709-6751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BENTON C LOGGAINS · (Male)

NPI # 1891763165
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 03/10/2006
Last updated 12/14/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AR License # PA276
  • AR Other 200022460A OKLAHOMA MEDICAID
Hospital affiliation(s)
  • ST EDWARD MERCY MEDICAL CENTER - (Acute Care)
    7301 ROGERS AVE
    FORT SMITH, AR 72917
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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