Saul, Jeremy Wayne

Saul, Jeremy Wayne is an individual health care provider with primary practice located at 700 E Parkway Dr , Russellville AR 72801-4202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Saul, Jeremy Wayne can be contacted via phone (479) 567-5770.

Contact Information

Primary practice address
700 E Parkway Dr Russellville AR 72801-4202
Phone: (479) 567-5770
Fax: (795) 675-1044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-5488 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E5488 Arkansas

Profile Details

NPI number 1437350600
LBN Legal business name Saul, Jeremy Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Apr 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437350600 NPPES
Arkansas MEDICAID 167951001

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