Sanson, Jodi Lynette

Sanson, Jodi Lynette is an individual health care provider with primary practice located at 1629 Airport Rd Suite B, Hot Springs AR 71913-7951. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Sanson, Jodi Lynette 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:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3642 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E3642 Arkansas

Profile Details

NPI number 1770538308
LBN Legal business name Sanson, Jodi Lynette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Sep 9th, 2008 - about 16 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 1770538308 NPPES
Arkansas MEDICAID 155666001

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