Organization
LAWRENCE COUNTY CHIROPRACTIC CLINIC, INC.
Active
Other names
Lawrence County Chiropractic Clinic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L SHACKELFORD II D.C. (OWNER)
(870) 886-2603
Entity
Organization
Contact information
Practice address
219 SOUTHWEST 2ND STREET, WALNUT RIDGE, AR 72476-2335
(870) 886-2603
(870) 886-2623
Mailing address
PO BOX 896, WALNUT RIDGE, AR 72476-0896
(870) 886-2603
(870) 886-2623
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
998
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105133718
—
AR
05
—
111623718
—
AR
Enumeration date
12/01/2006
Last updated
09/27/2013
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