Provider Demographics
NPI:1558090720
Name:CORE FAMILY CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:CORE FAMILY CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:KREUL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-743-3311
Mailing Address - Street 1:924 GOBLIN DR
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-8885
Mailing Address - Country:US
Mailing Address - Phone:870-743-3311
Mailing Address - Fax:870-743-3323
Practice Address - Street 1:924 GOBLIN DR
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-8885
Practice Address - Country:US
Practice Address - Phone:870-743-3311
Practice Address - Fax:870-743-3323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty