Jeremiah Ashcraft, MHPP
Individual provider Active NPI Case Manager/Care Coordinator · Little Rock, AR
NPI 1124274485 · NPPES record last updated Aug 18, 2008
Key facts
- NPI
- 1124274485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 100 S University Ave
Suite 401
Little Rock, AR 72205-5213 - Phone
- (501) 663-5473
- Fax
- (501) 801-1816
- NPI assigned
- Aug 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
100 S University Ave
Suite 401
Little Rock, AR 72205-5213
Mailing address
100 S University Ave
Suite 401
Little Rock, AR 72205-5213
Phone (501) 663-5473
Other providers in Little Rock, AR
- Stephen M. Ash
- Melinda Michelle Ashburn
- Ashcraft Orthodontics PLLC
- Amy Lizette Ashcraft
- Edmond Ashcraft
- Michael B. Ashcraft
- Rachel N Ashcraft
- Clare C Asher
- Jill Ashley
- Lorene Ashley
All providers in Little Rock, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.