Provider Demographics
NPI:1538681556
Name:INTUITUS LLC
Entity type:Organization
Organization Name:INTUITUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:VINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNIM
Authorized Official - Phone:479-713-0078
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72033-0158
Mailing Address - Country:US
Mailing Address - Phone:833-526-7075
Mailing Address - Fax:
Practice Address - Street 1:4504 FURLONG DR
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-6681
Practice Address - Country:US
Practice Address - Phone:833-526-7075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORRISON MEDICAL ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-11
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic MedicineGroup - Single Specialty