Elliott, Jamie Lee

Elliott, Jamie Lee is an individual health care provider with primary practice located at 2710 S Rife Medical Ln , Rogers AR 72758-1452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Elliott, Jamie Lee can be contacted via phone (479) 338-8000.

Contact Information

Primary practice address
2710 S Rife Medical Ln Rogers AR 72758-1452
Phone: (479) 338-8000
Fax: (479) 338-3056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X E5641 Arkansas

Profile Details

NPI number 1679799969
LBN Legal business name Elliott, Jamie Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jun 18th, 2021 - about 5 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 1679799969 NPPES
Arkansas Other 5H313 BCBS ARKANSAS
Arkansas Other P00645373 BCBS ARKANSAS
Arkansas MEDICAID 1679799969 BCBS ARKANSAS
Arkansas MEDICAID 200326140A BCBS ARKANSAS
Arkansas MEDICAID 175402001 BCBS ARKANSAS

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