Jones, Philip Derek

Jones, Philip Derek is an individual health care provider with primary practice located at 1307 S Pine St , Cabot AR 72023-3811. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jones, Philip Derek can be contacted via phone (501) 843-2222.

Contact Information

Primary practice address
1307 S Pine St Cabot AR 72023-3811
Fax: (501) 843-2277
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 15620 Arkansas

Profile Details

NPI number 1952311359
LBN Legal business name Jones, Philip Derek
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Feb 7th, 2023 - about 3 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 1952311359 NPPES
Arkansas Other 5X121C705 MEDICARE OTHER
Arkansas MEDICAID 148748718 MEDICARE OTHER

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