Provider Demographics
NPI:1417043761
Name:YOW CHIROPRACTIC CLINIC LLC
Entity Type:Organization
Organization Name:YOW CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-994-7550
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:ASH FLAT
Mailing Address - State:AR
Mailing Address - Zip Code:72513
Mailing Address - Country:US
Mailing Address - Phone:870-994-7550
Mailing Address - Fax:870-994-7293
Practice Address - Street 1:121 HWY 62W
Practice Address - Street 2:
Practice Address - City:ASH FLAT
Practice Address - State:AR
Practice Address - Zip Code:72513
Practice Address - Country:US
Practice Address - Phone:870-994-7550
Practice Address - Fax:870-994-7293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherFEDERAL TAX ID