Adkisson, Jarrod R.

Adkisson, Jarrod R. is an individual health care provider with primary practice located at 2400 S. 48Th , Springdale AR 72762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Adkisson, Jarrod R. can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
2400 S. 48Th Springdale AR 72762
Phone: (479) 750-2020
Fax: (479) 750-8967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C-8412 Arkansas

Profile Details

NPI number 1346293974
LBN Legal business name Adkisson, Jarrod R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Nov 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346293974 NPPES
Arkansas Other 8168000000 QUALCHOICE QCA
Arkansas MEDICAID 135993001 QUALCHOICE QCA
Arkansas Other 7463260 QUALCHOICE QCA
Arkansas Other BLUE CROSS QUALCHOICE QCA

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