Fant, Jerri S

Fant, Jerri S is an sole proprietor health care provider with primary practice located at 3400 Springhill Drive , North Little Rock AR 72117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Fant, Jerri S can be contacted via phone (501) 906-3000.

Contact Information

Primary practice address
3400 Springhill Drive North Little Rock AR 72117
Phone: (501) 906-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E2749 Arkansas

Profile Details

NPI number 1376539288
LBN Legal business name Fant, Jerri S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Mar 30th, 2022 - about 2 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 1376539288 NPPES
Arkansas MEDICAID 146285001

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