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:
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255326724 | NPPES |
Arkansas | MEDICAID | 130137718 |
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