Provider Demographics
NPI:1619054434
Name:DABBS CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:DABBS CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:RENE'
Authorized Official - Last Name:DABBS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-262-9899
Mailing Address - Street 1:2350 MALVERN AVE
Mailing Address - Street 2:STE C
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-8036
Mailing Address - Country:US
Mailing Address - Phone:501-262-9899
Mailing Address - Fax:
Practice Address - Street 1:2350 MALVERN AVE
Practice Address - Street 2:STE C
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-8036
Practice Address - Country:US
Practice Address - Phone:501-262-9899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR155695718Medicaid
AR155695718Medicaid