Frigon Md Pa, Jacquelyn Sue
Frigon Md Pa, Jacquelyn Sue is an individual health care provider with primary practice located at 1801 W 40Th Ave Suite 5B, Pine Bluff AR 71603-6900. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Frigon Md Pa, Jacquelyn Sue can be contacted via phone (870) 535-4800.Contact Information
Primary practice address
1801 W 40Th Ave Suite 5B
Pine Bluff AR 71603-6900
Phone: (870) 535-4800
Fax: (870) 535-4804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R2808 | Arkansas |
Profile Details
| NPI number | 1275512642 |
|---|---|
| LBN Legal business name | Frigon Md Pa, Jacquelyn Sue |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Aug 12th, 2011 - about 14 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 | 1275512642 | NPPES |
| Arkansas | MEDICAID | 103056001 |
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