Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME114728 | FL |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | AR E-8683 | AR |
NPI | 1013177609 |
---|---|
Provider Name | Michael M Hussey |
First Address | Little Rock, AR 72204 |
Second Address | Little Rock, AR 72204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 28/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
205878001 | (05) | AR |
371132YQCR | MEDICARE PTAN (01) | AR |
E-8683 | AR MEDICAL LICENSE (01) | AR |