Michael H Trusty

Individual provider Active NPI Case Manager/Care Coordinator · Jonesboro, AR

NPI 1669794871 · NPPES record last updated Feb 16, 2010

Key facts

NPI
1669794871
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2707 Browns LN
Jonesboro, AR 72401-7213
Phone
(870) 972-4939
Fax
(870) 972-4911
NPI assigned
Feb 16, 2010
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2707 Browns LN
Jonesboro, AR 72401-7213

Mailing address

2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4939

Other providers in Jonesboro, AR

All providers in Jonesboro, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.