Provider Demographics
NPI:1932234168
Name:HOPE BONE AND JOINT PLLC
Entity Type:Organization
Organization Name:HOPE BONE AND JOINT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLEMENS
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:SOELLER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:870-777-0000
Mailing Address - Street 1:114 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-8100
Mailing Address - Country:US
Mailing Address - Phone:870-777-0000
Mailing Address - Fax:
Practice Address - Street 1:114 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-8100
Practice Address - Country:US
Practice Address - Phone:870-777-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5M636Medicare ID - Type Unspecified
ARG81993Medicare UPIN