Titus, Janet Lynn

Titus, Janet Lynn is an individual health care provider with primary practice located at 63 W Sunbridge Dr , Fayetteville AR 72703-1825. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Titus, Janet Lynn can be contacted via phone (479) 582-3366.

Contact Information

Primary practice address
63 W Sunbridge Dr Fayetteville AR 72703-1825
Phone: (479) 582-3366
Fax: (479) 582-5843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X R-3125 Arkansas

Profile Details

NPI number 1902832660
LBN Legal business name Titus, Janet Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Dec 8th, 2011 - 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 1902832660 NPPES
Arkansas MEDICAID 106438001
Arkansas Other P00315086
Arkansas Other 55357

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