Nunley, Jonathan Scott

Nunley, Jonathan Scott is an individual health care provider with primary practice located at 2710 S Rife Medical Ln , Rogers AR 72758-1452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nunley, Jonathan Scott can be contacted via phone (479) 338-8000.

Contact Information

Primary practice address
2710 S Rife Medical Ln Rogers AR 72758-1452
Fax: (479) 338-3056
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X E4615 Arkansas

Profile Details

NPI number 1104885581
LBN Legal business name Nunley, Jonathan Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jun 18th, 2021 - about 5 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 1104885581 NPPES
Oklahoma MEDICAID 200003690A
Oklahoma Other P00288003
Oklahoma Other 5N453
Oklahoma MEDICAID 1104885581
Oklahoma MEDICAID 159158001

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