Provider Demographics
NPI:1891364717
Name:REFORM CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:REFORM CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PARKER
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SWIGGART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:479-250-9834
Mailing Address - Street 1:2308 SE 28TH ST STE 8
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-3701
Mailing Address - Country:US
Mailing Address - Phone:479-250-9834
Mailing Address - Fax:479-250-9834
Practice Address - Street 1:2308 SE 28TH ST STE 8
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3701
Practice Address - Country:US
Practice Address - Phone:479-250-9834
Practice Address - Fax:479-250-9834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty