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SOUTHWEST NEUROLOIGICAL INSTITUTEPA NPI 1952692808


NPI Information

NPI: 1952692808
Provider Name: SOUTHWEST NEUROLOIGICAL INSTITUTE,PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
3011 JENNY LIND RD
FORT SMITH, AR
ZIP 72901
Phone: (479) 784-9800
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SOUTHWEST NEUROLOIGICAL INSTITUTE,PA is a neurology psychiatry neurology in Fort Smith, AR. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SOUTHWEST NEUROLOIGICAL INSTITUTE,PA NPI is 1952692808. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3011 JENNY LIND RD
FORT SMITH, AR
ZIP 72901-736
Phone: (479) 784-9800
Fax: (479) 784-9817

The provider's authorized official is William L Griggs .
The authorized official title is Owner and has the following contact phone number (479) 784-9800.

The enumeration date for this NPI number is 4/27/2011 and was last updated on 5/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyR2071ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152037MEDICARE PINARKANSAS
2105583001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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