Provider Demographics
NPI:1831375914
Name:VARLEY ENTERPRISES L.L.C
Entity type:Organization
Organization Name:VARLEY ENTERPRISES L.L.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:VARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-834-7000
Mailing Address - Street 1:8214 HIGHWAY 107
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-5205
Mailing Address - Country:US
Mailing Address - Phone:501-834-7000
Mailing Address - Fax:501-834-7200
Practice Address - Street 1:8214 HIGHWAY 107
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-5205
Practice Address - Country:US
Practice Address - Phone:501-834-7000
Practice Address - Fax:501-834-7200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5T621Medicare UPIN
ARU66996Medicare PIN