Thurlby, Jefferson Robert

Thurlby, Jefferson Robert is an individual health care provider with primary practice located at 3215 N Northhills Blvd , Fayetteville AR 72703-4424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Thurlby, Jefferson Robert can be contacted via phone (479) 463-1000.

Contact Information

Primary practice address
3215 N Northhills Blvd Fayetteville AR 72703-4424
Phone: (479) 463-1000
Fax: (479) 463-5573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 21664 Oklahoma
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101242416 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X E7407 Arkansas

Profile Details

NPI number 1790758985
LBN Legal business name Thurlby, Jefferson Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Apr 17th, 2012 - about 14 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 1790758985 NPPES
Arkansas MEDICAID 191009001

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