Walker, Jeffrey Grant
Walker, Jeffrey Grant is an sole proprietor health care provider with primary practice located at 206 Plaza Blvd Ste F , Cabot AR 72023-3748. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Walker, Jeffrey Grant can be contacted via phone (501) 944-2854.Contact Information
Primary practice address
206 Plaza Blvd Ste F
Cabot AR 72023-3748
Phone: (501) 944-2854
Fax: (501) 286-7958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OTR 1337 | Arkansas |
Profile Details
| NPI number | 1548385180 |
|---|---|
| LBN Legal business name | Walker, Jeffrey Grant |
| Credentials | OTR.L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Sep 25th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548385180 | NPPES |
| Arkansas | MEDICAID | 136101721 |
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