Ms. Ella Beth Durham
Podiatrist Prosthetist
2930 E Moore Ave
Searcy
, Arkansas 72143-4831
Ms. Ella Beth Durham
Podiatrist Prosthetist
2930 E Moore Ave
Searcy
, Arkansas 72143-4831
(501) 368-0003
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Ms. Ella Beth Durham
- 2930 E Moore Ave
- Searcy, AR
- Zip : 72143-4831
- Fax : (501) 368-0003
- Phone : (501) 368-0868
Second Address
- Ms. Ella Beth Durham
- 2930 E Moore Ave
- Searcy, AR
- Zip : 72143-4831
- Fax : (501) 368-0003
- Phone : (501) 368-0868
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | ||
| N | 222Z00000X | Podiatrist | ||
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1215097050 |
|---|---|
| Provider Name | Ms. Ella Beth Durham |
| First Address | Searcy, AR 72143-4831 |
| Second Address | Searcy, AR 72143-4831 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2006 |
| Last Update Date | 18/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 457554716 | (05) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.