Provider Demographics
NPI:1922125939
Name:HAYMER CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:HAYMER CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:XAVIER
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAYMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-633-5050
Mailing Address - Street 1:172 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:FORREST CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72335-3268
Mailing Address - Country:US
Mailing Address - Phone:870-633-5050
Mailing Address - Fax:
Practice Address - Street 1:172 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-3268
Practice Address - Country:US
Practice Address - Phone:870-633-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1260111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARU20663Medicare UPIN
AR59874Medicare ID - Type Unspecified