Smith, Jason A

Smith, Jason A is an individual health care provider with primary practice located at 4901 Fairway Ave Suite C, North Little Rock AR 72116-6923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Smith, Jason A can be contacted via phone (501) 753-8444.

Contact Information

Primary practice address
4901 Fairway Ave Suite C North Little Rock AR 72116-6923
Phone: (501) 753-8444
Fax: (501) 753-9170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X E5080 Arkansas

Profile Details

NPI number 1225170376
LBN Legal business name Smith, Jason A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated May 27th, 2010 - 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 1225170376 NPPES
Arkansas Other E5080 STATE LICENSE
Arkansas MEDICAID 164668001 STATE LICENSE
Arkansas Other P00419128 STATE LICENSE

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