Provider Demographics
NPI:1982144929
Name:CHIROPRACTIC, ACUPUNCTURE, & METABOLIC PROFESSIONALS
Entity Type:Organization
Organization Name:CHIROPRACTIC, ACUPUNCTURE, & METABOLIC PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:318-512-9475
Mailing Address - Street 1:203 TOWNE PARK RD
Mailing Address - Street 2:UNIT E
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-1300
Mailing Address - Country:US
Mailing Address - Phone:318-512-9475
Mailing Address - Fax:
Practice Address - Street 1:203 TOWNE PARK RD
Practice Address - Street 2:UNIT E
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-1300
Practice Address - Country:US
Practice Address - Phone:318-512-9475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16158302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization