Provider Demographics
NPI:1336417336
Name:ARKANSAS PAIN AND WELLNESS, LLC
Entity Type:Organization
Organization Name:ARKANSAS PAIN AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGIST-PAIN MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:479-353-2904
Mailing Address - Street 1:4600 TOWSON AVE
Mailing Address - Street 2:SUITE 101-W2
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72901-7961
Mailing Address - Country:US
Mailing Address - Phone:479-353-2904
Mailing Address - Fax:479-763-3168
Practice Address - Street 1:4600 TOWSON AVE
Practice Address - Street 2:SUITE 101-W2
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-7961
Practice Address - Country:US
Practice Address - Phone:479-353-2904
Practice Address - Fax:479-763-3168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-05
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE6975207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty