Organization
SOUTHWEST CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG EDWARD KIRCHHOFF D.C. (PRESIDENT)
(870) 845-0707
Entity
Organization
Contact information
Practice address
208 S MAIN ST, NASHVILLE, AR 71852-2408
(870) 845-0707
(870) 845-0101
Mailing address
208 S MAIN ST, NASHVILLE, AR 71852-2408
(870) 845-0707
(870) 845-0101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1636
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y204
MEDICARE
AR
Enumeration date
04/07/2011
Last updated
04/07/2011
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