Parker, Jonathan

Parker, Jonathan is an individual health care provider with primary practice located at 171 N Maestri Rd Suite 1, Springdale AR 72762-9818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Parker, Jonathan can be contacted via phone (479) 361-1020.

Contact Information

Primary practice address
171 N Maestri Rd Suite 1 Springdale AR 72762-9818
Phone: (479) 361-1020
Fax: (479) 361-9118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-4638 Arkansas

Profile Details

NPI number 1740232693
LBN Legal business name Parker, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 15th, 2021 - about 4 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 1740232693 NPPES
Arkansas Other P00424746 RR MCR
Arkansas Other 5N513 RR MCR
Arkansas MEDICAID 160764001 RR MCR

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