Provider Demographics
NPI:1679268684
Name:ESSENCE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:ESSENCE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-416-0556
Mailing Address - Street 1:4083 N SHILOH DR STE 8
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-5201
Mailing Address - Country:US
Mailing Address - Phone:405-416-0556
Mailing Address - Fax:
Practice Address - Street 1:4083 N SHILOH DR STE 8
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5201
Practice Address - Country:US
Practice Address - Phone:405-416-0556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty