Fry, Jennifer Carol

Fry, Jennifer Carol is an individual health care provider with primary practice located at 909 W Main St , Green Forest AR 72638-2316. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fry, Jennifer Carol can be contacted via phone (870) 423-9246.

Contact Information

Primary practice address
909 W Main St Green Forest AR 72638-2316
Phone: (870) 423-9246
Fax: (877) 425-4393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 613 Arkansas

Profile Details

NPI number 1194932848
LBN Legal business name Fry, Jennifer Carol
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Oct 6th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194932848 NPPES
Arkansas MEDICAID 129993742
Arkansas MEDICAID 119425721

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