Jong, David George
Jong, David George is an individual health care provider with primary practice located at 500 S University Ave Suite #101, Little Rock AR 72205-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jong, David George can be contacted via phone (501) 664-3914.Contact Information
Primary practice address
500 S University Ave Suite #101
Little Rock AR 72205-5302
Phone: (501) 664-3914
Fax: (501) 664-5246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C8444 | Arkansas |
Profile Details
| NPI number | 1083679153 |
|---|---|
| LBN Legal business name | Jong, David George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jun 24th, 2015 - about 10 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 | 1083679153 | NPPES |
| Arkansas | MEDICAID | 134367001 | |
| Arkansas | Other | 5K725 | |
| Arkansas | Other | P00640525 |
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