Johnson, Kirk Robert

Johnson, Kirk Robert is an individual health care provider with primary practice located at 715 N College Ave , Fayetteville AR 72701-3407. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johnson, Kirk Robert can be contacted via phone (479) 442-0352.

Contact Information

Primary practice address
715 N College Ave Fayetteville AR 72701-3407
Phone: (479) 442-0352
Fax: (479) 442-4181
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 933 Arkansas

Profile Details

NPI number 1871587261
LBN Legal business name Johnson, Kirk Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
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 1871587261 NPPES
Other 7875281 AETNA
Other 14821000040 AETNA

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