Provider Demographics
NPI:1598408452
Name:29 II CRUM INVESTMENTS
Entity Type:Organization
Organization Name:29 II CRUM INVESTMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:CRUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-274-1222
Mailing Address - Street 1:PO BOX 1142
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058
Mailing Address - Country:US
Mailing Address - Phone:501-274-1222
Mailing Address - Fax:
Practice Address - Street 1:14300 WEST CANTRELL RD.
Practice Address - Street 2:SUITE 110
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223
Practice Address - Country:US
Practice Address - Phone:501-274-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty