National Provider Identifier Database

NORTHEAST ARKANSAS CLINIC PA
Sleep Disorder Diagnostic


Contact Information

NORTHEAST ARKANSAS CLINIC, P.A.
1118 WINDOVER RD
JONESBORO, AR72401-6038
Phone: 870-336-4145
Fax: 870-336-4148
Website:
Specialty Taxonomy Code
* Sleep Disorder Diagnostic 261QS1200X

* Indicates primary specialty

NPI Profile & details for NORTHEAST ARKANSAS CLINIC, P.A.

NPI Number 1588809792
Legal business name
LBN
NORTHEAST ARKANSAS CLINIC, P.A.
Authorized official DARRELL KING - (COO)
Entity Organization
Organization subpart Yes
Enumeration date 12/03/2008
Last updated 12/03/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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