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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