Favorite, Justin Gregory

Favorite, Justin Gregory is an sole proprietor health care provider with primary practice located at 1127 S Gutensohn Rd Ste. 110, Springdale AR 72762-5228. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Favorite, Justin Gregory can be contacted via phone (479) 756-1155.

Contact Information

Primary practice address
1127 S Gutensohn Rd Ste. 110 Springdale AR 72762-5228
Fax: (479) 756-1130
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1676 Arkansas

Profile Details

NPI number 1720092364
LBN Legal business name Favorite, Justin Gregory
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Oct 27th, 2020 - about 4 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 1720092364 NPPES
Arkansas Other 1676 STATE LISCENSE
Arkansas Other 47-5357469 STATE LISCENSE

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