Jennings, Bryan T

Jennings, Bryan T is an individual health care provider with primary practice located at 500 South University Ave Suite 101, Little Rock AR 72205-5314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jennings, Bryan T can be contacted via phone (501) 664-3914.

Contact Information

Primary practice address
500 South University Ave Suite 101 Little Rock AR 72205-5314
Phone: (501) 664-3914
Fax: (501) 664-5246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E4776 Arkansas

Profile Details

NPI number 1831127786
LBN Legal business name Jennings, Bryan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Nov 19th, 2013 - about 12 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 1831127786 NPPES
Arkansas MEDICAID 161444001

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