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Individual

DR. HENRY LIND SEUBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5600 EUPER LANE, SEUBOLD CHIRPRACTIC CLINIC, FORT SMITH, AR 72903
(479) 484-7200
(479) 484-7991
Mailing address
5600 EUPER LANE, FORT SMITH, AR 72903
(479) 484-7200
(479) 484-7991

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2102
OK
111N00000X
Chiropractor
Primary
937
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57697
MEDICARE CLINIC #
Enumeration date
08/31/2006
Last updated
01/12/2011
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