Mccallum, Jennifer Anne

Mccallum, Jennifer Anne is an individual health care provider with primary practice located at 10001 Lile Drive , Little Rock AR 72205-6217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Mccallum, Jennifer Anne can be contacted via phone (501) 227-8000.

Contact Information

Primary practice address
10001 Lile Drive Little Rock AR 72205-6217
Phone: (501) 227-8000
Fax: (501) 221-5854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X E-5172 Arkansas

Profile Details

NPI number 1760695944
LBN Legal business name Mccallum, Jennifer Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Apr 17th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760695944 NPPES
Arkansas Other 686481 MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC
Arkansas MEDICAID 164803001 MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC

Popular Providers