Staggs, Brent Christopher
Staggs, Brent Christopher is an individual health care provider with primary practice located at 1 Lile Ct Suite 101, Little Rock AR 72205-6242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Staggs, Brent Christopher can be contacted via phone (501) 225-7711.Contact Information
Primary practice address
1 Lile Ct Suite 101
Little Rock AR 72205-6242
Phone: (501) 225-7711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | E3430 | Arkansas |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | E3430 | Arkansas |
Profile Details
| NPI number | 1164508883 |
|---|---|
| LBN Legal business name | Staggs, Brent Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jul 21st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164508883 | NPPES |
| Arkansas | MEDICAID | 164670001 |
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