Provider Demographics
NPI:1679604409
Name:JOSLIN, JON ROBERT (R MR)
Entity type:Individual
Prefix:
First Name:JON
Middle Name:ROBERT
Last Name:JOSLIN
Suffix:
Gender:M
Credentials:R MR
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:25 JOSLIN LN
Mailing Address - Street 2:
Mailing Address - City:PLUMERVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72127-8009
Mailing Address - Country:US
Mailing Address - Phone:501-354-5877
Mailing Address - Fax:
Practice Address - Street 1:BAPTIST HEALTH LITTLE ROCK MRI DEPT
Practice Address - Street 2:9601 LILE DR STE 118
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-334-5877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARRT 1281247100000X
2563732471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
Not Answered2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging