| Benton Neurocare Inc. | |
|
811 Se 28th St Ste 5 Bentonville AR 72712-4294 | |
| (479) 254-9761 | |
| (479) 254-9732 |
| Full Name | Benton Neurocare Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 811 Se 28th St Ste 5, Bentonville, Arkansas |
| Authorized Official Name and Position | Ahmad Al-khatib (PRESIDENT) |
| Authorized Official Contact | 4792549761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton Neurocare Inc. 811 Se 28th St Ste 5 Bentonville AR 72712-4294 Ph: (479) 254-9761 | Benton Neurocare Inc. 811 Se 28th St Ste 5 Bentonville AR 72712-4294 Ph: (479) 254-9761 |
| NPI Number | 1063680973 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 02/13/2008 |
| Medicare PECOS PAC ID | 9739255027 |
|---|---|
| Medicare Enrollment ID | O20080910000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063680973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ahmad Al-khatib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548273394 PECOS PAC ID: 7315979655 Enrollment ID: I20080213000091 |
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