Gibson, Dorothy Jean

Gibson, Dorothy Jean is an sole proprietor health care provider with primary practice located at 93 W Colt Square Dr Suite 3, Fayetteville AR 72703-2814. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gibson, Dorothy Jean can be contacted via phone (479) 587-0227.

Contact Information

Primary practice address
93 W Colt Square Dr Suite 3 Fayetteville AR 72703-2814
Fax: (479) 587-0227
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1322 Arkansas

Profile Details

NPI number 1790783967
LBN Legal business name Gibson, Dorothy Jean
Credentials M.S., D.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Jan 12th, 2010 - about 14 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 1790783967 NPPES
Arkansas Other E4815 SUBMITTER NUMBER
Arkansas Other 5B410 SUBMITTER NUMBER

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