Irvin, Joe

Irvin, Joe is an individual health care provider with primary practice located at 1441 Highway 62 412 , Highland AR 72542-9497. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Irvin, Joe can be contacted via phone (870) 856-9675.

Contact Information

Primary practice address
1441 Highway 62 412 Highland AR 72542-9497
Fax: (870) 856-9679
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PTA 2000 Arkansas

Profile Details

NPI number 1689798191
LBN Legal business name Irvin, Joe
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 18 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 1689798191 NPPES
Arkansas Other PTA 2000 LICENSE

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