Staggs, Brent Christopher

Staggs, Brent Christopher is an individual health care provider with primary practice located at 1 Lile Ct Suite 101, Little Rock AR 72205-6242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Staggs, Brent Christopher can be contacted via phone (501) 225-7711.

Contact Information

Primary practice address
1 Lile Ct Suite 101 Little Rock AR 72205-6242
Phone: (501) 225-7711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X E3430 Arkansas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X E3430 Arkansas

Profile Details

NPI number 1164508883
LBN Legal business name Staggs, Brent Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 21st, 2016 - about 9 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 1164508883 NPPES
Arkansas MEDICAID 164670001

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