Martin, Jacquelyn Michelle

Martin, Jacquelyn Michelle is an individual health care provider with primary practice located at 125 Wellness Way , Hot Springs AR 71913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Martin, Jacquelyn Michelle can be contacted via phone (501) 624-7111.

Contact Information

Primary practice address
125 Wellness Way Hot Springs AR 71913
Phone: (501) 624-7111
Fax: (501) 620-5109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E-7355 Arkansas

Profile Details

NPI number 1386819373
LBN Legal business name Martin, Jacquelyn Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Jun 14th, 2018 - about 7 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 1386819373 NPPES
Arkansas MEDICAID 211456002
Arkansas MEDICAID 116399726

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