Ironside, Scott Sullivan

Ironside, Scott Sullivan is an individual health care provider with primary practice located at 908 Nw 8Th St , Bentonville AR 72712. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ironside, Scott Sullivan can be contacted via phone (479) 273-1141.

Contact Information

Primary practice address
908 Nw 8Th St Bentonville AR 72712
Phone: (479) 273-1141
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT588 Arkansas

Profile Details

NPI number 1336110998
LBN Legal business name Ironside, Scott Sullivan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Mar 6th, 2008 - 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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