Sovereign Force, Pa in Bentonville - Primary Care
Sovereign Force, Pa - NPI 1629252440
Sovereign Force, Pa is a Primary Care in Bentonville, Arkansas. Sovereign Force, Pa practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Sovereign Force, Pa is 1629252440. The last update date is 2007-12-28.
Sovereign Force, Pa's current location address is 301 Sw 16th St, Bentonville, Arkansas. You can contact this provider via phone number 4795869800. The mailing address for Sovereign Force, Pa is 301 Sw 16th St, Bentonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sovereign Force, Pa |
|---|---|
| Address | 301 Sw 16th St, Bentonville, Arkansas |
| Phone Number | 4795869800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bicak D. Ajdahan |
| Credentials | M.D. |
| Telephone Number | 4795869800 |
NPI Number Detail
| NPI Number | 1629252440 |
|---|---|
| Provider Enumeration Date | 2007-12-28 |
| Last Updated Date | 2007-12-28 |
Provider Mailing Address Detail
| Address | 301 Sw 16th St |
|---|---|
| City | Bentonville |
| State | Arkansas (AR) |
| Post Code | 727127173 |
| Phone Number | 4795869800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | MC-2586 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique identifier code issued to Sovereign Force, Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Sovereign Force, Pa has been assigned the NPI (National Provider Identifier) 1629252440. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Sovereign Force, Pa is physically located?
The Sovereign Force, Pa is physically situated at the following address: 301 Sw 16Th St, Bentonville, AR, 727127173.
What is the Sovereign Force, Pa's specialty and taxonomy code?
The Sovereign Force, Pa's specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
On what date did Sovereign Force, Pa receive its 1629252440 assignment from the Centers for Medicare & Medicaid Services?
The Sovereign Force, Pa was assigned its 1629252440 on 2007-12-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Sovereign Force, Pa last refreshed?
The information related to the Sovereign Force, Pa, including its address, specialty, and other relevant details, was last updated on 2007-12-28.