Chastain, Kody Lelan

Chastain, Kody Lelan is an sole proprietor health care provider with primary practice located at 1583 Main Dr , Fayetteville AR 72704-5214. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Chastain, Kody Lelan can be contacted via phone (479) 443-0800.

Contact Information

Primary practice address
1583 Main Dr Fayetteville AR 72704-5214
Phone: (479) 443-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X T16233 Arkansas

Profile Details

NPI number 1164065330
LBN Legal business name Chastain, Kody Lelan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2019
Last updated Oct 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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