Organization
BB CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE CLOUSE APRN (PRESIDENT)
(479) 410-2225
Entity
Organization
Contact information
Practice address
623 FAYETTEVILLE RD, VAN BUREN, AR 72956-3418
(479) 410-2225
(479) 410-9238
Mailing address
PO BOX 6577, VAN BUREN, AR 72956-0482
(479) 410-2225
(479) 410-9238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004094
AR
Other
Enumeration date
11/01/2012
Last updated
05/14/2015
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