Andersson, Jeanine A

Andersson, Jeanine A is an individual health care provider with primary practice located at 800 Fair Park Blvd , Little Rock AR 72204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as her primary health care specialty. Andersson, Jeanine A can be contacted via phone (501) 664-4088.

Contact Information

Primary practice address
800 Fair Park Blvd Little Rock AR 72204
Phone: (501) 664-4088
Fax: (501) 664-7113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X E-3400 Arkansas

Profile Details

NPI number 1619955945
LBN Legal business name Andersson, Jeanine A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Mar 28th, 2018 - about 6 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 1619955945 NPPES
Arkansas MEDICAID 157561001
Arkansas Other 5N258C207

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