Provider Demographics
NPI:1992862619
Name:NORMAN, JOHN CHANCE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHANCE
Last Name:NORMAN
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 1:2113 PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-3737
Mailing Address - Country:US
Mailing Address - Phone:501-450-9898
Mailing Address - Fax:501-450-9898
Practice Address - Street 1:2113 PRINCE ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-3737
Practice Address - Country:US
Practice Address - Phone:501-450-9898
Practice Address - Fax:501-450-9898
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1690111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology