Healthcare Provider Details

I. General information

NPI: 1053382473
Provider Name (Legal Business Name): JEFFREY H NEUHAUSER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 10/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3343 SPRINGHILL STE 1035 ARKANSAS CARDIOLOGY
NORTH LITTLE ROCK AR
72117
US

IV. Provider business mailing address

3343 SPRINGHILL STE 1035
NORTH LITTLE ROCK AR
72117
US

V. Phone/Fax

Practice location:
  • Phone: 501-975-7676
  • Fax: 501-975-0653
Mailing address:
  • Phone: 501-975-7676
  • Fax: 501-537-0206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberE2809
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberE2809
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: