| Jrtmd Llc | |
|
1400 W Markham St Ste 407 Little Rock AR 72201-1844 | |
| (501) 291-2324 | |
| (501) 897-6195 |
| Full Name | Jrtmd Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1400 W Markham St Ste 407, Little Rock, Arkansas |
| Authorized Official Name and Position | Jeremy Thompson (OWNER) |
| Authorized Official Contact | 5012912324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jrtmd Llc 1400 W Markham St Ste 407 Little Rock AR 72201-1844 Ph: (501) 291-2324 | Jrtmd Llc 1400 W Markham St Ste 407 Little Rock AR 72201-1844 Ph: (501) 291-2324 |
| NPI Number | 1497460398 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/16/2023 |
| Medicare PECOS PAC ID | 9638542897 |
|---|---|
| Medicare Enrollment ID | O20230309000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497460398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jeremy R Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134212947 PECOS PAC ID: 8820143951 Enrollment ID: I20090826000053 |
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