Collins, Jack Jay

Collins, Jack Jay is an individual health care provider with primary practice located at 2792 S 2Nd St , Cabot AR 72023-7020. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Collins, Jack Jay can be contacted via phone (501) 268-3400.

Contact Information

Primary practice address
2792 S 2Nd St Cabot AR 72023-7020
Phone: (501) 268-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 909330763 Arkansas

Profile Details

NPI number 1962969568
LBN Legal business name Collins, Jack Jay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2019
Last updated Mar 1st, 2019 - about 5 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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