Luke Barbara

Individual provider Active NPI Case Manager/Care Coordinator · Little Rock, AR

NPI 1376298752 · NPPES record last updated Feb 15, 2022

Key facts

NPI
1376298752
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
6210 Baseline Rd
Little Rock, AR 72209-4728
Phone
(501) 265-0302
Fax
(501) 265-0302
NPI assigned
Feb 15, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X AR Yes

Addresses

Primary practice location

6210 Baseline Rd
Little Rock, AR 72209-4728

Mailing address

6210 Baseline Rd
Little Rock, AR 72209-4728
Phone (501) 265-0302

Other identifiers

IdentifierTypeStateIssuer
236900526MedicaidAR

Other providers in Little Rock, AR

All providers in Little Rock, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.