Becker, Jennifer

Becker, Jennifer is an individual health care provider with primary practice located at 1301 S E St , Fort Smith AR 72901-4716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Becker, Jennifer can be contacted via phone (479) 785-2431.

Contact Information

Primary practice address
1301 S E St Fort Smith AR 72901-4716
Phone: (479) 785-2431
Fax: (479) 494-7787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A004528 Arkansas

Profile Details

NPI number 1861868648
LBN Legal business name Becker, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2015
Last updated Apr 14th, 2017 - 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 1861868648 NPPES
Arkansas MEDICAID 211247758
Arkansas MEDICAID 200605840A

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