Meredith, James Therold

Meredith, James Therold is an individual health care provider with primary practice located at 921 Holiday Dr , Forrest City AR 72335-9183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Meredith, James Therold can be contacted via phone (870) 633-4711.

Contact Information

Primary practice address
921 Holiday Dr Forrest City AR 72335-9183
Phone: (870) 633-4711
Fax: (870) 633-4850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C5727 Arkansas

Profile Details

NPI number 1639173420
LBN Legal business name Meredith, James Therold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 27th, 2023 - about 3 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 1639173420 NPPES
Arkansas Other 13346000000 QUALCHOICE
Arkansas Other P01915 QUALCHOICE
Arkansas MEDICAID 106020002 QUALCHOICE
Arkansas MEDICAID 106002001 QUALCHOICE
Arkansas Other 080077472 QUALCHOICE
Arkansas Other 4032439 QUALCHOICE
Arkansas Other 080077472 QUALCHOICE
Arkansas Other 172348500 QUALCHOICE

Popular Providers