Stocks, Jimmy Rex

Stocks, Jimmy Rex is an individual health care provider with primary practice located at 1801 W 40Th Ave Ste 2B , Pine Bluff AR 71603-6957. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Stocks, Jimmy Rex can be contacted via phone (870) 535-7457.

Contact Information

Primary practice address
1801 W 40Th Ave Ste 2B Pine Bluff AR 71603-6957
Phone: (870) 535-7457
Fax: (870) 535-2522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C02733 Arkansas

Profile Details

NPI number 1861639817
LBN Legal business name Stocks, Jimmy Rex
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2009
Last updated Jun 8th, 2009 - about 17 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 1861639817 NPPES
Arkansas MEDICAID 176401001
Arkansas Other P00698157
Arkansas Other 5R299

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