Jeffries, Robert Earl

Jeffries, Robert Earl is an sole proprietor health care provider with primary practice located at 3880 Willowood Ave Ste B , Springdale AR 72762-2914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jeffries, Robert Earl can be contacted via phone (479) 756-5500.

Contact Information

Primary practice address
3880 Willowood Ave Ste B Springdale AR 72762-2914
Phone: (479) 756-5500
Fax: (479) 756-2000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD104152 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C8269 Arkansas

Profile Details

NPI number 1740275775
LBN Legal business name Jeffries, Robert Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Jun 27th, 2013 - about 12 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 1740275775 NPPES
Arkansas MEDICAID 148694002

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