Sternberg, Jack Jay
Sternberg, Jack Jay is an sole proprietor health care provider with primary practice located at 1000 N University Ave , Little Rock AR 72207-6347. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Sternberg, Jack Jay can be contacted via phone (501) 661-0060.Contact Information
Primary practice address
1000 N University Ave
Little Rock AR 72207-6347
Phone: (501) 661-0060
Fax: (501) 661-1233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | C5323 | Arkansas |
| Other Service Providers / Specialist | 174400000X | C5323 | Arkansas |
Profile Details
| NPI number | 1336145218 |
|---|---|
| LBN Legal business name | Sternberg, Jack Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jun 27th, 2017 - about 8 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 | 1336145218 | NPPES |
| Arkansas | Other | C5323 | LICENSE NUMBER |
| Arkansas | MEDICAID | 104618001 | LICENSE NUMBER |
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