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Contact Information

CAESAR S. DIVINO D.P.M. PA
3065 HIGHWAY 367 S
SUITE 11
CABOT, AR72023-8660
 Phone: 501-941-3797
 Fax: 501-941-7760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CAESAR S DIVINO DPM PA · (Female)

NPI Number 1811280894
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2011
Last updated 05/24/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 164
  • AR Medicaid 145589748
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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