Susan B. Jeter in Little Rock - Specialist/technologist
Susan B. Jeter - NPI 1760677074
Susan B. Jeter is a Specialist/technologist in Little Rock, Arkansas. Susan B. Jeter practices all healthcare services and medical treatments related to Specialist/technologist. The NPI Number for Susan B. Jeter is 1760677074. The last update date is 2007-09-10.
Susan B. Jeter's current location address is 2200 Live Oaks Dr, Little Rock, Arkansas. You can contact this provider via phone number 5012465308. The mailing address for Susan B. Jeter is 2200 Live Oaks Dr, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan B. Jeter |
|---|---|
| Address | 2200 Live Oaks Dr, Little Rock, Arkansas |
| Phone Number | 5012465308 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1760677074 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | 2200 Live Oaks Dr |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722239340 |
| Phone Number | 5012465308 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist/technologist |
|---|---|
| Taxonomy | 235500000X |
| Licence No | 97-05E |
|
Definition: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97-05E | AR | STATE OF ARKANSAS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan B. Jeter?
The Susan B. Jeter has been issued the NPI (National Provider Identifier) 1760677074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Susan B. Jeter?
The Susan B. Jeter is physically situated at 2200 Live Oaks Dr, in the city of Little Rock, state of AR, with the postal code 722239340.
What is Susan B. Jeter's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan B. Jeter is Specialist/technologist, and the taxonomy code that categorizes this field of expertise is 235500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760677074 to Susan B. Jeter?
The Susan B. Jeter received its 1760677074 assignment from the Centers for Medicare & Medicaid Services on 2007-09-10.
As of what date was the information pertaining to Susan B. Jeter, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan B. Jeter, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-10.