Foust, Jamie Suzanne

Foust, Jamie Suzanne is an individual health care provider with primary practice located at 413 W Tyler Ave , West Memphis AR 72301-4149. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Foust, Jamie Suzanne can be contacted via phone (870) 733-1200.

Contact Information

Primary practice address
413 W Tyler Ave West Memphis AR 72301-4149
Phone: (870) 733-1200
Fax: (870) 732-3269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 1692 Arkansas

Profile Details

NPI number 1659556090
LBN Legal business name Foust, Jamie Suzanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2008
Last updated Mar 3rd, 2009 - about 16 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 1659556090 NPPES
Arkansas MEDICAID 145523721

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