Provider Demographics
NPI:1790030054
Name:HUTCHISON, JOHN ADAM (DC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ADAM
Last Name:HUTCHISON
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 1:3480 N SUMMERHILL DR STE 1
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-3852
Mailing Address - Country:US
Mailing Address - Phone:479-443-6768
Mailing Address - Fax:
Practice Address - Street 1:3480 N SUMMERHILL DR STE 1
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-3852
Practice Address - Country:US
Practice Address - Phone:479-443-6768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR15985111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor