Mayfield, Jeffrey S
Mayfield, Jeffrey S is an individual health care provider with primary practice located at 819 West Carpenter Street , Benton AR 72015-3349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mayfield, Jeffrey S can be contacted via phone (501) 778-8264.Contact Information
Primary practice address
819 West Carpenter Street
Benton AR 72015-3349
Phone: (501) 778-8264
Fax: (501) 778-7360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C8451 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C-8451 | Arkansas |
Profile Details
| NPI number | 1184697203 |
|---|---|
| LBN Legal business name | Mayfield, Jeffrey S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jun 20th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184697203 | NPPES |
| Arkansas | Other | 5J475 | BCBS |
| Arkansas | Other | 0904380019 | BCBS |
| Arkansas | MEDICAID | 129603001 | BCBS |
| Arkansas | Other | 8700962001 | BCBS |
| Arkansas | Other | 0005277096 | BCBS |
| Arkansas | Other | 0120295 | BCBS |
| Arkansas | Other | 16740000000 | BCBS |
| Arkansas | Other | 384486 | BCBS |
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