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LAWRENCE COUNTY CHIROPRACTIC CLINIC INC. NPI 1437227006


NPI Information

NPI: 1437227006
Provider Name: LAWRENCE COUNTY CHIROPRACTIC CLINIC, INC.

Former Legal Business Name: LAWRENCE COUNTY CHIROPRACTIC CLINIC, INC.

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
219 SOUTHWEST 2ND STREET
WALNUT RIDGE, AR
ZIP 72476
Phone: (870) 886-2603
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LAWRENCE COUNTY CHIROPRACTIC CLINIC, INC. is a chiropractor in Walnut Ridge, AR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. LAWRENCE COUNTY CHIROPRACTIC CLINIC, INC. NPI is 1437227006. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Lawrence County Chiropractic Clinic, Inc..

The provider's business location address is:

219 SOUTHWEST 2ND STREET
WALNUT RIDGE, AR
ZIP 72476-335
Phone: (870) 886-2603
Fax: (870) 886-2623

The provider's authorized official is Robert L Shackelford .
The authorized official title is Owner and has the following contact phone number (870) 886-2603.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 9/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor998ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15C384MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2111623718MEDICAIDARKANSAS
3105133718MEDICAIDARKANSAS
4T20719MEDICARE UPINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.