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Organization
TREE OF LIFE CHIROPRACTIC INC
Active
Organization
TREE OF LIFE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN MARIE QUINT DC (CHIROPRACTIC PHYSICIAN)
(479) 253-9117
Entity
Organization
Contact information
Practice address
174 HUNTSVILLE ROAD, EUREKA SPRINGS, AR 72632
(479) 253-9117
Mailing address
174 HUNTSVILLE ROAD, EUREKA SPRINGS, AR 72632
(479) 253-9117
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1205
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350050642
RAILROAD MEDICARE PIN
AR
01
—
59005
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/07/2006
Last updated
06/19/2013
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