Fenter, Jerry Ed
Fenter, Jerry Ed is an sole proprietor health care provider with primary practice located at 2860 I 55 Service Rd Ste C, Marion AR 72364. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fenter, Jerry Ed can be contacted via phone (870) 739-8686.Contact Information
Primary practice address
2860 I 55 Service Rd Ste C
Marion AR 72364
Phone: (870) 739-8686
Fax: (870) 739-8656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 920842873 | Arkansas |
Profile Details
| NPI number | 1003989765 |
|---|---|
| LBN Legal business name | Fenter, Jerry Ed |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Sep 12th, 2011 - about 13 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 | 1003989765 | NPPES |
| Arkansas | MEDICAID | 159618721 |
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