Provider Demographics
NPI:1689856056
Name:TOTAL RESOLUTIONS CHIROPRACTIC
Entity Type:Organization
Organization Name:TOTAL RESOLUTIONS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:S
Authorized Official - Last Name:STINNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-368-5300
Mailing Address - Street 1:PO BOX 606
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:AR
Mailing Address - Zip Code:72556-0606
Mailing Address - Country:US
Mailing Address - Phone:870-368-5300
Mailing Address - Fax:870-368-5301
Practice Address - Street 1:709 MAIN STREET
Practice Address - Street 2:SUITE C
Practice Address - City:MELBOURNE
Practice Address - State:AR
Practice Address - Zip Code:72556
Practice Address - Country:US
Practice Address - Phone:870-368-5300
Practice Address - Fax:870-368-5301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty