Jefferson, John R

Jefferson, John R is an individual health care provider with primary practice located at 1125 N College Ave , Fayetteville AR 72703-1908. 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. Jefferson, John R can be contacted via phone (479) 713-8630.

Contact Information

Primary practice address
1125 N College Ave Fayetteville AR 72703-1908
Phone: (479) 713-8630
Fax: (479) 713-8639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT3976 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTH2287 Alabama

Profile Details

NPI number 1285694257
LBN Legal business name Jefferson, John R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 13th, 2024 - about last year

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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