Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | E2809 | AR |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | E2809 | AR |
NPI | 1053382473 |
---|---|
Provider Name | Dr. Jeffrey H Neuhauser |
First Address | North Little Rock, AR 72117 |
Second Address | North Little Rock, AR 72117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 04/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
142945003 | (05) | AR |
5L708 | BLUE CROSS BLUE SHIELD (01) | AR |
CC6745 | RAILROAD MEDICARE (01) | AR |
CN1884 | RAILROAD MEDICARE (01) | AR |
F47349 | (02) |