Jennings, Matthew Bradley

Jennings, Matthew Bradley is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jennings, Matthew Bradley can be contacted via phone (479) 443-4301.

Contact Information

Primary practice address
1100 N College Ave Fayetteville AR 72703-1944
Phone: (479) 443-4301
Fax: (479) 587-5915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-9048 Arkansas

Profile Details

NPI number 1740271014
LBN Legal business name Jennings, Matthew Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Sep 20th, 2023 - about last year

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 1740271014 NPPES
Illinois Other 04515143 BCBS#

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