Provider Demographics
NPI:1316035330
Name:FAMILY CHIRPRACTIC CARE INC.
Entity Type:Organization
Organization Name:FAMILY CHIRPRACTIC CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-251-2560
Mailing Address - Street 1:60 ALLEN CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-9787
Mailing Address - Country:US
Mailing Address - Phone:870-251-2560
Mailing Address - Fax:870-251-3809
Practice Address - Street 1:163 HEBER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SOUTHSIDE
Practice Address - State:AR
Practice Address - Zip Code:72501-8031
Practice Address - Country:US
Practice Address - Phone:870-251-2560
Practice Address - Fax:870-251-3809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1308111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR125295718Medicaid
ARU41617Medicare UPIN
AR59362Medicare ID - Type Unspecified