National Provider Identifier Database

LIVING TREE PEDIATRICS PLLC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

LIVING TREE PEDIATRICS, PLLC
1110 SE 30TH STREET
BENTONVILLE, AR72712-4290
Phone: 479-282-2966
Fax: 479-282-2967
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for LIVING TREE PEDIATRICS, PLLC

NPI Number 1396102679
Legal business name
LBN
LIVING TREE PEDIATRICS, PLLC
Authorized official JULIE TATE - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/18/2016
Last updated 03/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: E7529
  • AR Medicaid: 191183001
  • AR Medicaid: 192425001

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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