Organization
SHERIDAN CHIROPRACTIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD F JOHNSON D.C. (CHIROPRACTOR)
(870) 942-8014
Entity
Organization
Contact information
Practice address
12 OPPORTUNITY DR, SHERIDAN, AR 72150-9185
(870) 942-8014
Mailing address
12 OPPORTUNITY DR, SHERIDAN, AR 72150-9185
(870) 942-8014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1213
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59723
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/16/2008
Last updated
06/16/2008
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