Provider Demographics
NPI:1104285857
Name:PINNACLE CHIROPRACTIC
Entity type:Organization
Organization Name:PINNACLE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:JAMESON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-673-3110
Mailing Address - Street 1:5507 RANCH DR
Mailing Address - Street 2:STE 3
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-4538
Mailing Address - Country:US
Mailing Address - Phone:501-673-3110
Mailing Address - Fax:501-673-3159
Practice Address - Street 1:5507 RANCH DR
Practice Address - Street 2:STE 3
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4538
Practice Address - Country:US
Practice Address - Phone:501-673-3110
Practice Address - Fax:501-673-3159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR15751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty