Provider Demographics
NPI:1609179225
Name:CASHWELL CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:CASHWELL CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASHWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-477-2211
Mailing Address - Street 1:POST OFFICE BOX 1263
Mailing Address - Street 2:
Mailing Address - City:MORRILTON
Mailing Address - State:AR
Mailing Address - Zip Code:72110-4521
Mailing Address - Country:US
Mailing Address - Phone:501-477-2211
Mailing Address - Fax:501-477-2212
Practice Address - Street 1:2 DAVIS DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:MORRILTON
Practice Address - State:AR
Practice Address - Zip Code:72110-4521
Practice Address - Country:US
Practice Address - Phone:501-477-2211
Practice Address - Fax:501-477-2212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARU61892Medicare UPIN