Short, Jessica

Short, Jessica is an sole proprietor health care provider with primary practice located at 688 E Millsap Rd , Fayetteville AR 72703-4095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Short, Jessica can be contacted via phone (479) 463-3070.

Contact Information

Primary practice address
688 E Millsap Rd Fayetteville AR 72703-4095
Fax: (479) 463-3077
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X E-5421 Arkansas

Profile Details

NPI number 1386868545
LBN Legal business name Short, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated May 30th, 2013 - about 12 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 1386868545 NPPES
Arkansas MEDICAID 440106901

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