Provider Demographics
NPI:1720199219
Name:AARCHWAY CHIROPRACTIC K A PLUMMER DC PA
Entity Type:Organization
Organization Name:AARCHWAY CHIROPRACTIC K A PLUMMER DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PA
Authorized Official - Phone:479-751-1133
Mailing Address - Street 1:PO BOX 766
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72765-0766
Mailing Address - Country:US
Mailing Address - Phone:479-751-1133
Mailing Address - Fax:479-751-8550
Practice Address - Street 1:326 HOLCOMB ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-4405
Practice Address - Country:US
Practice Address - Phone:479-751-1133
Practice Address - Fax:479-751-8550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR59919Medicare PIN