Slater, Jantzen T
Slater, Jantzen T is an individual health care provider with primary practice located at 199 E. Main St. , Farmington AR 72730-3077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Slater, Jantzen T can be contacted via phone (479) 267-1001.Contact Information
Primary practice address
199 E. Main St.
Farmington AR 72730-3077
Phone: (479) 267-1001
Fax: (479) 267-1026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9865992-1205 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-11402 | Arkansas |
Profile Details
| NPI number | 1063891570 |
|---|---|
| LBN Legal business name | Slater, Jantzen T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2015 |
| Last updated | Jul 19th, 2018 - about 6 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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