Eggleston, Michael Lee

Eggleston, Michael Lee is an individual health care provider with primary practice located at 3000 N Market Ave Ste C , Fayetteville AR 72703-3507. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Eggleston, Michael Lee can be contacted via phone (479) 575-0105.

Contact Information

Primary practice address
3000 N Market Ave Ste C Fayetteville AR 72703-3507
Phone: (479) 575-0105
Fax: (479) 575-0205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1418 Arkansas

Profile Details

NPI number 1255326724
LBN Legal business name Eggleston, Michael Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 9th, 2013 - about 12 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 1255326724 NPPES
Arkansas MEDICAID 130137718

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