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Organization
CHIROPRACTIC WELLNESS CENTER, LLC
Active
Organization
CHIROPRACTIC WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA CASEY J CASEY (OFFICE MANAGER)
(501) 663-4663
Entity
Organization
Contact information
Practice address
300 S RODNEY PARHAM RD, SUITE 11, LITTLE ROCK, AR 72205-4774
(501) 663-4663
(501) 663-7689
Mailing address
300 S RODNEY PARHAM RD, SUITE 11, LITTLE ROCK, AR 72205-4747
(501) 663-4663
(501) 663-7689
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1435 & 1085
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167431718
—
AR
01
—
19689000000
QUAL CHOICE GROUP
AR
01
—
5G015
BLUE CROSS GROUP
AR
01
—
DN3101
RR MEDICARE-PALMETTO
AR
Enumeration date
12/07/2006
Last updated
08/07/2013
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