Provider Demographics
NPI:1043278914
Name:FINCK, JOHN HENRY (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HENRY
Last Name:FINCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 MORROW ST N
Mailing Address - Street 2:
Mailing Address - City:MENA
Mailing Address - State:AR
Mailing Address - Zip Code:71953-2514
Mailing Address - Country:US
Mailing Address - Phone:479-394-4703
Mailing Address - Fax:479-394-2126
Practice Address - Street 1:209 MORROW ST N
Practice Address - Street 2:
Practice Address - City:MENA
Practice Address - State:AR
Practice Address - Zip Code:71953-2514
Practice Address - Country:US
Practice Address - Phone:479-394-4703
Practice Address - Fax:479-394-2126
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR3577207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL520-12975OtherBCBS OF ALABAMA
AR141130001Medicaid
ARP02314OtherNOVASYS HEALTH
AR52088OtherARKANSAS BLUE CROSS/SHIEL
AR141130001Medicaid
D05492Medicare UPIN