Geoghagan, Jay Daniel
Geoghagan, Jay Daniel is an individual health care provider with primary practice located at 3343 Springhill Dr Suite 1035, North Little Rock AR 72117-2929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Geoghagan, Jay Daniel can be contacted via phone (501) 975-7676.Contact Information
Primary practice address
3343 Springhill Dr Suite 1035
North Little Rock AR 72117-2929
Phone: (501) 975-7676
Fax: (501) 537-0206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME88853 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | E-2040 | Arkansas |
Profile Details
| NPI number | 1407840101 |
|---|---|
| LBN Legal business name | Geoghagan, Jay Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Oct 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407840101 | NPPES |
| Arkansas | Other | 5N795 | BLUE CROSS BLUE SHIELD |
| Arkansas | Other | CC6745 | BLUE CROSS BLUE SHIELD |
| Arkansas | Other | CN1884 | BLUE CROSS BLUE SHIELD |
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