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Contact Information

ARKANSAS FOOT CLINIC, PA
1501 ALDERSGATE RD
LITTLE ROCK, AR72205-6611
 Phone: 501-224-1501
 Fax: 501-376-7065
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ARKANSAS FOOT CLINIC PA · (Female)

NPI Number 1306816137
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2006
Last updated 01/04/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 119019748
  • Other CD4794 RR MEDICARE
  • AR Other 57258 AR BLUE CROSS
  • AR Other 57258 BCBS FEP
  • AR Other 57258 BLUE ADVANTAGE
  • AR Other 57258 FIRST SOURCE PPO
  • AR Other 57258 HEALTH ADVANTAGE
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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