Maner, Jamie Wayne

Maner, Jamie Wayne is an individual health care provider with primary practice located at 1001 Towson Ave Er Dept., Fort Smith AR 72901-4921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Maner, Jamie Wayne can be contacted via phone (479) 441-5011.

Contact Information

Primary practice address
1001 Towson Ave Er Dept. Fort Smith AR 72901-4921
Phone: (479) 441-5011
Fax: (405) 749-4561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-4182 Arkansas

Profile Details

NPI number 1750464442
LBN Legal business name Maner, Jamie Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Feb 13th, 2009 - about 16 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 1750464442 NPPES
Arkansas Other 5N314 BCBS
Arkansas MEDICAID 200098800A BCBS
Arkansas MEDICAID 157769001 BCBS

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