Jetton, Christina A
Jetton, Christina A is an individual health care provider with primary practice located at 1430 W C St , Russellville AR 72801-2805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Jetton, Christina A can be contacted via phone (479) 968-6781.Contact Information
Primary practice address
1430 W C St
Russellville AR 72801-2805
Phone: (479) 968-6781
Fax: (479) 968-3074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | E2643 | Arkansas |
Profile Details
| NPI number | 1205895745 |
|---|---|
| LBN Legal business name | Jetton, Christina A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | May 31st, 2024 - about 2 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 | 1205895745 | NPPES |
| Arkansas | Other | 770158001 | BREASTCARE |
| Arkansas | MEDICAID | 145744001 | BREASTCARE |
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