Organization
OLDHAM CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C OLDHAM D.C (OWNER DOCTOR)
(870) 763-8155
Entity
Organization
Contact information
Practice address
827 E MAIN ST, BLYTHEVILLE, AR 72315-2521
(870) 763-8155
(870) 838-1589
Mailing address
PO BOX 45, BLYTHEVILLE, AR 72316-0045
(870) 763-8155
(870) 838-1589
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1542
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C699
BCBS
AR
Enumeration date
02/14/2007
Last updated
08/22/2020
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