Provider Demographics
NPI:1821094277
Name:JARMAN, MICHAEL W (DC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:W
Last Name:JARMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 LINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-5820
Mailing Address - Country:US
Mailing Address - Phone:870-240-8006
Mailing Address - Fax:870-236-3942
Practice Address - Street 1:2207 LINWOOD DR
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-6120
Practice Address - Country:US
Practice Address - Phone:870-236-8006
Practice Address - Fax:870-236-3942
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1220111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR127093718Medicaid
AR59733Medicare PIN
AR127093718Medicaid