Dr. Jim Mark Ingram
Allergist & Immunologist
18 Corporate Hill Dr Suite 110
Little Rock
, Arkansas 72205-4565
Dr. Jim Mark Ingram
Allergist & Immunologist
18 Corporate Hill Dr Suite 110
Little Rock
, Arkansas 72205-4565
(501) 801-5561
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Jim Mark Ingram
- 18 Corporate Hill Drive Suite 110
- Little Rock, AR
- Zip : 72205-4565
- Fax : (501) 801-5561
- Phone : (501) 224-1156
Second Address
- Dr. Jim Mark Ingram
- 18 Corporate Hill Dr Suite 110
- Little Rock, AR
- Zip : 72205-4565
- Fax : (501) 801-5561
- Phone : (501) 224-1156
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | C7708 | AR |
National Provider Identifier
| NPI | 1093707176 |
|---|---|
| Provider Name | Dr. Jim Mark Ingram |
| First Address | Little Rock, AR 72205-4565 |
| Second Address | Little Rock, AR 72205-4565 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F78948 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.