Harvey, Jerry L
Harvey, Jerry L is an individual health care provider with primary practice located at 15361 Highway 5 Suite E, Cabot AR 72023-5128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harvey, Jerry L can be contacted via phone (501) 605-9355.Contact Information
Primary practice address
15361 Highway 5 Suite E
Cabot AR 72023-5128
Phone: (501) 605-9355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | EO182 | Arkansas |
Profile Details
| NPI number | 1487602470 |
|---|---|
| LBN Legal business name | Harvey, Jerry L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jun 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487602470 | NPPES |
| Arkansas | MEDICAID | 125608003 |
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