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GRACE CHIROPRACTIC CENTER INC. NPI 1285792366


NPI Information

NPI: 1285792366
Provider Name: GRACE CHIROPRACTIC CENTER, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
309 W MAIN ST
CABOT, AR
ZIP 72023
Phone: (501) 941-3008
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GRACE CHIROPRACTIC CENTER, INC. is a chiropractor in Cabot, 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. GRACE CHIROPRACTIC CENTER, INC. NPI is 1285792366. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

309 W MAIN ST
CABOT, AR
ZIP 72023-911
Phone: (501) 941-3008
Fax: (501) 941-3007

The provider's authorized official is Timothy Clay Gross .
The authorized official title is Owner and has the following contact phone number (501) 941-3008.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.


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
1111N00000XChiropractor1674ARKANSASYes

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
17172792OTHERARKANSASAETNA
25Y850OTHERARKANSASBLUE CROSS BLUE SHEILD
35032683OTHERARKANSASCIGNA
406060023300OTHERARKANSASQUAL CHOICE

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: 4/28/2024

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