Jennings, Charles A
Jennings, Charles A is an individual health care provider with primary practice located at 1120 Lexington Ave , Fort Smith AR 72901-5136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jennings, Charles A can be contacted via phone (479) 709-7260.Contact Information
Primary practice address
1120 Lexington Ave
Fort Smith AR 72901-5136
Phone: (479) 709-7260
Fax: (479) 709-7261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N6962 | Arkansas |
Profile Details
| NPI number | 1558359398 |
|---|---|
| LBN Legal business name | Jennings, Charles A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Sep 16th, 2010 - about 14 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 | 1558359398 | NPPES |
| Oklahoma | MEDICAID | 200045210A | |
| Oklahoma | MEDICAID | 110985001 |
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