Individual
ERIC SHAWN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
125 MAIN ST SE, SUITE A, GRAVETTE, AR 72736-8753
(479) 787-7555
(479) 787-7444
Mailing address
125 MAIN ST SE, SUITE A, GRAVETTE, AR 72736-8753
(479) 787-7555
(479) 787-7444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1380
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T055
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/27/2005
Last updated
09/27/2013
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