Cothern, Daniel Christopher

Cothern, Daniel Christopher is an sole proprietor health care provider with primary practice located at 1998 W Grand Blvd , Fayetteville AR 72704-5077. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Cothern, Daniel Christopher can be contacted via phone (866) 251-1227.

Contact Information

Primary practice address
1998 W Grand Blvd Fayetteville AR 72704-5077
Phone: (866) 251-1227
Fax: (866) 251-1267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 2286 Arkansas
Other Service Providers / Specialist 174400000X PT 2286 Arkansas

Profile Details

NPI number 1871694471
LBN Legal business name Cothern, Daniel Christopher
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Aug 15th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871694471 NPPES
Arkansas MEDICAID 163436721

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