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Contact Information

OTOLARYNGOLOGY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PA
621 E MATTHEWS AVE
JONESBORO, AR72401-3145
 Phone: 870-932-6799
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
 

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for OTOLARYNGOLOGY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PA · (Female)

NPI Number 1922425818
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2014
Last updated 03/28/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 199654720
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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