Provider Demographics
NPI:1649255787
Name:BEEMER, CYNTHIA SUE (DC)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:SUE
Last Name:BEEMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:CUPIT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:1000 S WEST END ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-5239
Mailing Address - Country:US
Mailing Address - Phone:479-751-8686
Mailing Address - Fax:479-751-6022
Practice Address - Street 1:1000 S WEST END ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762
Practice Address - Country:US
Practice Address - Phone:479-751-8686
Practice Address - Fax:479-751-6022
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1207111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR12K156718Medicaid
AR350037926OtherGBA RAILROAD
AR350037926OtherGBA RAILROAD
T89779Medicare UPIN