Provider Demographics
NPI:1598108094
Name:BATESVILLE CHIROPRACTIC WELLNESS
Entity Type:Organization
Organization Name:BATESVILLE CHIROPRACTIC WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SENSABAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-569-4954
Mailing Address - Street 1:2511 HARRISON STREET
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501
Mailing Address - Country:US
Mailing Address - Phone:870-569-4954
Mailing Address - Fax:855-593-5963
Practice Address - Street 1:2511 HARRISON STREET
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501
Practice Address - Country:US
Practice Address - Phone:870-569-4954
Practice Address - Fax:855-593-5963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-15
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16020261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center