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
Phone: (479) 756-1155
Fax: (479) 756-1130
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720092364 | NPPES |
Arkansas | Other | 1676 | STATE LISCENSE |
Arkansas | Other | 47-5357469 | STATE LISCENSE |
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