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
Fax: (479) 338-5533
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134126600 NPPES
Arkansas MEDICAID 162462901
Arkansas MEDICAID 162462901

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