Provider Demographics
NPI:1245044098
Name:METCALF, CHRISTOPHER AUSTIN (DC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:AUSTIN
Last Name:METCALF
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 1:651 ADELLE LN
Mailing Address - Street 2:
Mailing Address - City:NEW EDINBURG
Mailing Address - State:AR
Mailing Address - Zip Code:71660-8287
Mailing Address - Country:US
Mailing Address - Phone:870-884-1018
Mailing Address - Fax:
Practice Address - Street 1:202 E MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:RISON
Practice Address - State:AR
Practice Address - Zip Code:71665
Practice Address - Country:US
Practice Address - Phone:870-884-1018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR12420111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor