Provider Demographics
NPI:1013712272
Name:HEMLEBEN, MARK ELLIOTT (CP)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:ELLIOTT
Last Name:HEMLEBEN
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1966
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71902-1966
Mailing Address - Country:US
Mailing Address - Phone:501-620-4800
Mailing Address - Fax:844-272-8975
Practice Address - Street 1:120 HILL ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6238
Practice Address - Country:US
Practice Address - Phone:501-620-4800
Practice Address - Fax:844-272-8975
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROPP00270224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist