Individual
STEVEN FREDERICK BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
636 W BROADWAY ST, NORTH LITTLE ROCK, AR 72114-5526
(501) 374-1153
(501) 374-6213
Mailing address
636 W BROADWAY ST, NORTH LITTLE ROCK, AR 72114-5526
(501) 374-1153
(501) 374-6213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
992
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152197718
—
AR
01
—
1801872304
GROUP NPI
AR
01
—
350052757
RAILROAD MEDICARE ID #
AR
Enumeration date
12/16/2005
Last updated
08/22/2011
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