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
Phone: (479) 587-0227
Fax: (479) 587-0227
Website:
Health care specialties
Specialty | Code | License # | 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 15 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 | 1790783967 | NPPES |
Arkansas | Other | E4815 | SUBMITTER NUMBER |
Arkansas | Other | 5B410 | SUBMITTER NUMBER |
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