National Provider Identifier Database

ARKANSAS PREMIER MEDICAL CLINIC
Family


Contact Information

ARKANSAS PREMIER MEDICAL CLINIC
22461 I 30 STE 402
BRYANT, AR72022-2383
Phone: 501-303-8289
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for ARKANSAS PREMIER MEDICAL CLINIC

NPI Number 1346848850
Legal business name
LBN
ARKANSAS PREMIER MEDICAL CLINIC
Authorized official ANNA ROAS - (APN/PART OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/16/2020
Last updated 10/16/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AR Other: 1235655531 NPI
  • AR Other: 1326282799 NPI

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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