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Contact Information

JEFFREY MCDONALD
2803 S WILLOW ST
PINE BLUFF, AR71603-5069
 Phone: 844-220-9970
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JEFFREY MCDONALD · (Male)

NPI Number 1720650492
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2021
Last updated 07/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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