Fenter, Jerry Ed
Fenter, Jerry Ed is an sole proprietor health care provider with primary practice located at 2860 I 55 Service Rd Ste C, Marion AR 72364. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fenter, Jerry Ed can be contacted via phone (870) 739-8686.Contact Information
Primary practice address
2860 I 55 Service Rd Ste C
Marion AR 72364
Phone: (870) 739-8686
Fax: (870) 739-8656
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 920842873 | Arkansas |
Profile Details
NPI number | 1003989765 |
---|---|
LBN Legal business name | Fenter, Jerry Ed |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 17th, 2006 |
Last updated | Sep 12th, 2011 - about 13 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 | 1003989765 | NPPES |
Arkansas | MEDICAID | 159618721 |
Popular Providers
-
Tolleson, Mary
2001 N Mcneely Rd , Marion AR 72364-9606 -
Owoso, Eudora R.
None Currently , Marion AR 72364-1296 -
Whitmore, Ashley S
2860 I-55 Service Road Ste. C, Marion AR 72364 -
Santa Lucia, Michael J
1655 Cane Bay Blvd Ste B , Summerville SC 29486-2397 -
Ruddick, Leann
282 Rivertrace Dr , Marion AR 72364-2628 -
Fox, Ashley
2860 I-55 Service Rd Ste C, Marion AR 72364 -
Politte, Spencer
924 State Highway 77 , Marion AR 72364-9004 -
Bowman, Amy
210 Manor St , Marion AR 72364-1936