Organization
BOONEVILLE CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A. HALE D.C. (PRES.)
(479) 675-4253
Entity
Organization
Contact information
Practice address
181 WEST 6TH STREET, BOONEVILLE, AR 72927
(479) 675-4253
Mailing address
.P.O BOX 597, BOONEVILLE, AR 72927
(479) 675-4253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1290
AR
261Q00000X
Clinic/Center
1290
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130690718
—
AR
Enumeration date
03/13/2014
Last updated
04/16/2014
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