Staggs, Joe D

Staggs, Joe D is an individual health care provider with primary practice located at 708 Lexington Ave , Fort Smith AR 72901-4738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Staggs, Joe D can be contacted via phone (479) 782-4470.

Contact Information

Primary practice address
708 Lexington Ave Fort Smith AR 72901-4738
Fax: (479) 782-6131
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C4532 Arkansas

Profile Details

NPI number 1548257520
LBN Legal business name Staggs, Joe D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Aug 13th, 2010 - about 14 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 1548257520 NPPES
Arkansas MEDICAID 105773001
Arkansas MEDICAID 100251310C

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