Jaggers, Robert C.

Jaggers, Robert C. is an individual health care provider with primary practice located at 3276 N. North Hills Blvd. , Fayetteville AR 72703. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jaggers, Robert C. can be contacted via phone (479) 587-1114.

Contact Information

Primary practice address
3276 N. North Hills Blvd. Fayetteville AR 72703
Fax: (479) 587-1119
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R3835 Arkansas

Profile Details

NPI number 1639165608
LBN Legal business name Jaggers, Robert C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 9th, 2018 - about 6 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 1639165608 NPPES
Arkansas MEDICAID 114669001

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