Statz, Jessica Hailey
Statz, Jessica Hailey is an individual health care provider with primary practice located at 609 W Maple Ave , Springdale AR 72764-5335. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Statz, Jessica Hailey can be contacted via phone (479) 751-3722.Contact Information
Primary practice address
609 W Maple Ave
Springdale AR 72764-5335
Phone: (479) 751-3722
Fax: (479) 751-1099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | DR.0043776 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43776 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 52344-21 | Wisconsin |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | E-13712 | Arkansas |
Profile Details
| NPI number | 1215083993 |
|---|---|
| LBN Legal business name | Statz, Jessica Hailey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Mar 6th, 2023 - about 2 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 | 1215083993 | NPPES |
| Colorado | MEDICAID | 9000165743 |
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