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BACK 40 CHIROPRACTIC CLINIC PLLC NPI 1033821467


NPI Information

NPI: 1033821467
Provider Name: BACK 40 CHIROPRACTIC CLINIC, PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3406 BELLA VISTA WAY
BELLA VISTA, AR
ZIP 72714
Phone: (479) 888-8122
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BACK 40 CHIROPRACTIC CLINIC, PLLC is a chiropractor in Bella Vista, 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. BACK 40 CHIROPRACTIC CLINIC, PLLC NPI is 1033821467. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3406 BELLA VISTA WAY
BELLA VISTA, AR
ZIP 72714-700
Phone: (479) 888-8122
Fax: (479) 487-0615

The provider's authorized official is Matthew Paul Tuttle .
The authorized official title is President and has the following contact phone number (479) 888-8122.

The enumeration date for this NPI number is 12/16/2022 and was last updated on 6/14/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

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: 5/5/2024

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.