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Contact Information

ELLA B DURHAM, CPO, C.PED
2930 E MOORE AVE
SEARCY, AR72143-4831
 Phone: 501-368-0868
 Fax: 501-368-0003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
Indicates primary specialty

NPI Profile & details for ELLA B DURHAM · (Female)

NPI # 1215097050
Status Active
Credentials CPO, C.PED
Entity Individual
Enumeration date 12/11/2006
Last updated 02/18/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AR Medicaid 457554716
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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