1184260408 NPI number — DOUGLAS M SELL PHD

Table of content: DOUGLAS M SELL PHD (NPI 1184260408)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184260408 NPI number — DOUGLAS M SELL PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SELL
Provider First Name:
DOUGLAS
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184260408
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/13/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1630
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MALVERN
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72104-1475
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-467-3485
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ARKANSAS DEPT. OF CORRECTION
Provider Second Line Business Practice Location Address:
100 WALCO LANE
Provider Business Practice Location Address City Name:
MALVERN
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-467-3485
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/21/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  09-04P , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 09-04P . This is a "ARKANSAS LICENSE NUMBER" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".




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