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
Fax: (479) 751-1099
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215083993 NPPES
Colorado MEDICAID 9000165743

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