University Of Arkansas Medical Sciences, Ahec Pine Bluff in Pine Bluff - Student In An Organized Health Care Education/training Program
University Of Arkansas Medical Sciences, Ahec Pine Bluff - NPI 1881776987
University Of Arkansas Medical Sciences, Ahec Pine Bluff is a Student In An Organized Health Care Education/training Program in Pine Bluff, Arkansas. University Of Arkansas Medical Sciences, Ahec Pine Bluff practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for University Of Arkansas Medical Sciences, Ahec Pine Bluff is 1881776987. The last update date is 2010-08-30.
University Of Arkansas Medical Sciences, Ahec Pine Bluff's current location address is 4747 Dusty Lake Dr, Pine Bluff, Arkansas. You can contact this provider via phone number 8705419300. The mailing address for University Of Arkansas Medical Sciences, Ahec Pine Bluff is 4747 Dusty Lake Dr, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Of Arkansas Medical Sciences, Ahec Pine Bluff |
|---|---|
| Address | 4747 Dusty Lake Dr, Pine Bluff, Arkansas |
| Phone Number | 8705419300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Kittell Timothy Michael |
| Credentials | M.D. |
| Telephone Number | 8705416000 |
NPI Number Detail
| NPI Number | 1881776987 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2010-08-30 |
Provider Mailing Address Detail
| Address | 4747 Dusty Lake Dr |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716038742 |
| Phone Number | 8705419300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| E-5801 | AR | ARKANSAS STATE MEDICAL BOARD | |
| 440144201 | AR | -- |
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What is the unique 10-digit identification code issued to University Of Arkansas Medical Sciences, Ahec Pine Bluff by the Centers for Medicare & Medicaid Services?
The University Of Arkansas Medical Sciences, Ahec Pine Bluff has been assigned the NPI (National Provider Identifier) 1881776987 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the University Of Arkansas Medical Sciences, Ahec Pine Bluff located?
The University Of Arkansas Medical Sciences, Ahec Pine Bluff is located at 4747 Dusty Lake Dr, Pine Bluff, AR 716038742.
What is University Of Arkansas Medical Sciences, Ahec Pine Bluff's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for University Of Arkansas Medical Sciences, Ahec Pine Bluff is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy classification code for this specialized field is 390200000X.
When did University Of Arkansas Medical Sciences, Ahec Pine Bluff receive its 1881776987 assignment?
The University Of Arkansas Medical Sciences, Ahec Pine Bluff was assigned its 1881776987 on 2006-10-19, which is the date when this unique identifier was issued to the organization.
When was the information regarding University Of Arkansas Medical Sciences, Ahec Pine Bluff most recently updated?
The details pertaining to the University Of Arkansas Medical Sciences, Ahec Pine Bluff, including its address, specialty, and other relevant information, were last refreshed on 2010-08-30.