Magness, Jack L
Magness, Jack L is an individual health care provider with primary practice located at 6801 Rogers Ave , Fort Smith AR 72903-4067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Magness, Jack L can be contacted via phone (479) 274-2000.Contact Information
Primary practice address
6801 Rogers Ave
Fort Smith AR 72903-4067
Phone: (479) 274-2000
Fax: (479) 274-2194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | C-3363 | Arkansas |
Profile Details
| NPI number | 1598782294 |
|---|---|
| LBN Legal business name | Magness, Jack L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Aug 31st, 2015 - about 9 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 | 1598782294 | NPPES |
| Arkansas | MEDICAID | 105622001 | |
| Arkansas | Other | 070002980 |
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