Carfagno, Jeffrey John
Carfagno, Jeffrey John is an individual health care provider with primary practice located at 1900 Club Manor Dr Ste 105 , Maumelle AR 72113-7443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carfagno, Jeffrey John can be contacted via phone (501) 851-8100.Contact Information
Primary practice address
1900 Club Manor Dr Ste 105
Maumelle AR 72113-7443
Phone: (501) 851-8100
Fax: (501) 851-4712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C6805 | Arkansas |
Profile Details
| NPI number | 1073616934 |
|---|---|
| LBN Legal business name | Carfagno, Jeffrey John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Dec 17th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073616934 | NPPES |
| Arkansas | MEDICAID | 116678001 | |
| Arkansas | Other | 1670460 | |
| Arkansas | Other | 51945 | |
| Arkansas | Other | 11200000040 | |
| Arkansas | Other | 080037331 |
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