National Provider Identifier Database

JARED ENNIS, MD – NPI #1467539155
Interventional Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.


Contact Information

JARED ENNIS, MD
4019 N REMINGTON DR
FAYETTEVILLE, AR72703-6344
Phone: 479-595-8192
Fax: 479-442-1748
Website:
Specialty Taxonomy Code
* Interventional Pain Medicine 208VP0014X
Anesthesiology 207L00000X

* Indicates primary specialty

NPI Profile & details for JARED ENNIS

NPI Number 1467539155
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 03/29/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • AR License #: E-4271
  • AR Medicaid: 157891001
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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