Plastic Surgery Institute, Pa in Little Rock - Specialist
Plastic Surgery Institute, Pa - NPI 1316090574
Plastic Surgery Institute, Pa is a Specialist in Little Rock, Arkansas. Plastic Surgery Institute, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Plastic Surgery Institute, Pa is 1316090574. The last update date is 2009-03-05.
Plastic Surgery Institute, Pa's current location address is 1 Lile Ct Ste 100, Little Rock, Arkansas. You can contact this provider via phone number 5012241859 and fax number 5019752242. The mailing address for Plastic Surgery Institute, Pa is 1 Lile Ct Ste 100, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Plastic Surgery Institute, Pa |
|---|---|
| Address | 1 Lile Ct Ste 100, Little Rock, Arkansas |
| Phone Number | 5012241859 |
| Fax Number | 5019752242 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Love J Edward |
| Credentials | MD |
| Telephone Number | 5012241859 |
NPI Number Detail
| NPI Number | 1316090574 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2009-03-05 |
Provider Mailing Address Detail
| Address | 1 Lile Ct Ste 100 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722056239 |
| Phone Number | 5012241859 |
| Fax Number | 5019752242 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | E2504 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 140138001 | AR | -- | |
| 5G129 | AR | MEDICARE PTAN |
Post Comment/ Review Below
What is the Plastic Surgery Institute, Pa's 1316090574?
The Plastic Surgery Institute, Pa's NPI (National Provider Identifier) Number is 1316090574. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Plastic Surgery Institute, Pa?
The Plastic Surgery Institute, Pa is situated at 1 Lile Ct Ste 100, in the city of Little Rock, state of AR, with the zip code 722056239.
What is Plastic Surgery Institute, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Plastic Surgery Institute, Pa is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316090574 to Plastic Surgery Institute, Pa?
The Centers for Medicare & Medicaid Services originally issued the 1316090574 to Plastic Surgery Institute, Pa on 2007-01-19.
As of what date were the details related to Plastic Surgery Institute, Pa most recently updated or revised?
The information pertaining to Plastic Surgery Institute, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2009-03-05.