Alcorn, Jacob

Alcorn, Jacob is an individual health care provider with primary practice located at 132 Lower Ridge Rd , Conway AR 72032-8518. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Alcorn, Jacob can be contacted via phone (501) 315-3344.

Contact Information

Primary practice address
132 Lower Ridge Rd Conway AR 72032-8518
Phone: (501) 315-3344
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Arkansas

Profile Details

NPI number 1316493547
LBN Legal business name Alcorn, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2016
Last updated Aug 30th, 2016 - about 8 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 1316493547 NPPES
Arkansas MEDICAID 116374726

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