Provider Demographics
NPI:1548615974
Name:HAYLEY PLUMLEE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:HAYLEY PLUMLEE CHIROPRACTIC PLLC
Other - Org Name:BACK IN BALANCE CHIROPRACTIC & ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYLEY
Authorized Official - Middle Name:I
Authorized Official - Last Name:PLUMLEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-405-3731
Mailing Address - Street 1:734 THORN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-3102
Mailing Address - Country:US
Mailing Address - Phone:870-405-3731
Mailing Address - Fax:
Practice Address - Street 1:734 THORN ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-3102
Practice Address - Country:US
Practice Address - Phone:870-405-3731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16125111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty