Jones, Stacie Mchan
Jones, Stacie Mchan is an individual health care provider with primary practice located at 1 Children'S Way # 653 , Little Rock AR 72202-3510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as her primary health care specialty. Jones, Stacie Mchan can be contacted via phone (501) 364-1100.Contact Information
Primary practice address
1 Children'S Way # 653
Little Rock AR 72202-3510
Phone: (501) 364-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | C-7726 | Arkansas |
Profile Details
| NPI number | 1578663456 |
|---|---|
| LBN Legal business name | Jones, Stacie Mchan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Mar 3rd, 2009 - about 17 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 | 1578663456 | NPPES |
| Arkansas | MEDICAID | 126357001 |
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