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
Phone: (479) 587-1114
Fax: (479) 587-1119
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639165608 | NPPES |
Arkansas | MEDICAID | 114669001 |
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