Robert, Jon M

Robert, Jon M is an individual health care provider with primary practice located at 1629 Airport Rd Suite B, Hot Springs AR 71913-7951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Robert, Jon M can be contacted via phone (501) 767-0075.

Contact Information

Primary practice address
1629 Airport Rd Suite B Hot Springs AR 71913-7951
Phone: (501) 767-0075
Fax: (501) 760-2739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R2529 Arkansas

Profile Details

NPI number 1336140888
LBN Legal business name Robert, Jon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 28th, 2013 - about 11 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 1336140888 NPPES
Arkansas MEDICAID 102385001

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