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Contact Information

DANNY J AQUILAR, DPM
2400 W MAIN ST
RUSSELLVILLE, AR72801-2531
 Phone: 479-890-3668
 Fax: 479-890-9513
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DANNY J AQUILAR · (Male)

NPI Number 1699778407
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/24/2005
Last updated 10/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 141
  • AR Medicaid 139839717
  • AR Other 5375757 AETNA INDIVIDUAL NUMBER
  • AR Other 5U232 BCBS INDIVIDUAL NUMBER
  • AR Other 7396535001 CIGNA INDIVIDUAL NUMBER
  • AR Other 18514000000 QUALCHOICE INDV. NUMBER
  • AR Other 480030569 RAILROAD MEDICARE NUMBER
Hospital affiliation(s)
  • JOHNSON REGIONAL MEDICAL CENTER - (Acute Care)
    1100 EAST POPLAR STREET
    CLARKSVILLE, AR 72830
  • ST MARYS REGIONAL MEDICAL CENTER - (Acute Care)
    1808 WEST MAIN STREET
    RUSSELLVILLE, AR 72801
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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