Provider Demographics
NPI:1083933014
Name:TAYLOR, CHADWICK DEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHADWICK
Middle Name:DEAN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 COMMERCE DR STE B
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-7798
Mailing Address - Country:US
Mailing Address - Phone:501-333-9330
Mailing Address - Fax:501-333-9335
Practice Address - Street 1:201 COMMERCE DR STE B
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-7798
Practice Address - Country:US
Practice Address - Phone:501-333-9330
Practice Address - Fax:501-333-9335
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008671111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor