Job Jacob Md Pllc

LBN: Job Jacob Md Pllc
Job Jacob Md Pllc is an health care organization with primary practice located at 965 Carson Cv Ste A , Conway AR 72034. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Job Jacob Md Pllc can be contacted via phone (501) 513-2628, or through Jacob, Job via phone (501) 513-2628.

Contact Information

Primary practice address
965 Carson Cv Ste A Conway AR 72034
Phone: (501) 513-2628
Fax: (501) 513-2630
Website:
Map and Directions
Authorized official contact:
Name: Jacob, Job Doctor of Medicine (MD)
Phone: (501) 513-2628

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MC-2479 Arkansas

Profile Details

NPI number 1124152236
LBN Legal business name Job Jacob Md Pllc
DBA Doing business as
Authorized official Jacob, Job Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Aug 1st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124152236 NPPES
Arkansas MEDICAID 161356002
Arkansas Other MC-2479

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