Netzel, Jeffrey A
Netzel, Jeffrey A is an sole proprietor health care provider with primary practice located at 1720 S Walton Blvd Ste 2, Bentonville AR 72712-7172. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Netzel, Jeffrey A can be contacted via phone (479) 271-2225.Contact Information
Primary practice address
1720 S Walton Blvd Ste 2
Bentonville AR 72712-7172
Phone: (479) 271-2225
Fax: (479) 271-6225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2529 | Arkansas |
Profile Details
| NPI number | 1235145046 |
|---|---|
| LBN Legal business name | Netzel, Jeffrey A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | May 29th, 2008 - about 17 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 | 1235145046 | NPPES |
| Arkansas | MEDICAID | 149488722 |
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