Schroeder, Jennifer A
Schroeder, Jennifer A is an individual health care provider with primary practice located at 2708 Rife Medical Lane Suite 130, Rogers AR 72758-1452. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Schroeder, Jennifer A can be contacted via phone (479) 338-5555.Contact Information
Primary practice address
2708 Rife Medical Lane Suite 130
Rogers AR 72758-1452
Phone: (479) 338-5555
Fax: (479) 338-5533
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K6502 | Texas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E3089 | Arkansas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-3089 | Arkansas |
Profile Details
NPI number | 1134126600 |
---|---|
LBN Legal business name | Schroeder, Jennifer A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2005 |
Last updated | Sep 24th, 2011 - about 13 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 | 1134126600 | NPPES |
Arkansas | MEDICAID | 162462901 | |
Arkansas | MEDICAID | 162462901 |
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