Southerland, Barry Fletcher
Southerland, Barry Fletcher is an sole proprietor health care provider with primary practice located at 1200 S Waldron Rd Ste 155 , Fort Smith AR 72903-2673. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Southerland, Barry Fletcher can be contacted via phone (479) 452-0031.Contact Information
Primary practice address
1200 S Waldron Rd Ste 155
Fort Smith AR 72903-2673
Phone: (479) 452-0031
Fax: (479) 452-0034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 964 | Arkansas |
Profile Details
| NPI number | 1790740405 |
|---|---|
| LBN Legal business name | Southerland, Barry Fletcher |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jun 17th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790740405 | NPPES |
| Arkansas | MEDICAID | 119025718 | |
| Arkansas | Other | 200043080A | |
| Arkansas | Other | 59852 |
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