Jameson, John Michael

Jameson, John Michael is an sole proprietor health care provider with primary practice located at 128 Southwinds Rd Ste 5 , Farmington AR 72730-8685. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Jameson, John Michael can be contacted via phone (479) 267-6934.

Contact Information

Primary practice address
128 Southwinds Rd Ste 5 Farmington AR 72730-8685
Fax: (866) 789-3345
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 95-22P Arkansas

Profile Details

NPI number 1770667859
LBN Legal business name Jameson, John Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Apr 15th, 2022 - about 3 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 1770667859 NPPES
Arkansas MEDICAID 128264719

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