Jarvis, Wendy Lee
Jarvis, Wendy Lee is an individual health care provider with primary practice located at 3896 Elm Springs Rd Suite D, Springdale AR 72762-2703. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jarvis, Wendy Lee can be contacted via phone (479) 750-7778.Contact Information
Primary practice address
3896 Elm Springs Rd Suite D
Springdale AR 72762-2703
Phone: (479) 750-7778
Fax: (479) 750-7708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OTR639 | Arkansas |
Profile Details
| NPI number | 1437116027 |
|---|---|
| LBN Legal business name | Jarvis, Wendy Lee |
| Credentials | OTR L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1437116027 | NPPES |
| Arkansas | Other | 5T840 | BC/BS ID NUMBER |
| Arkansas | MEDICAID | 155431742 | BC/BS ID NUMBER |
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