Lindsay, Jason Teague

Lindsay, Jason Teague is an individual health care provider with primary practice located at 15 Green Valley Dr , Mountain Home AR 72653-8102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lindsay, Jason Teague can be contacted via phone (870) 701-0490.

Contact Information

Primary practice address
15 Green Valley Dr Mountain Home AR 72653-8102
Phone: (870) 701-0490
Fax: (870) 701-0491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X E4783 Arkansas

Profile Details

NPI number 1740356153
LBN Legal business name Lindsay, Jason Teague
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jun 9th, 2020 - about 6 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 1740356153 NPPES
Arkansas MEDICAID 167290001
Arkansas Other E4783

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