Provider Demographics
NPI:1386752038
Name:JARNAGIN PROPERTY & INVESTMENTS
Entity type:Organization
Organization Name:JARNAGIN PROPERTY & INVESTMENTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:JARNAGIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:479-646-3984
Mailing Address - Street 1:3444 OLD GREENWOOD ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903
Mailing Address - Country:US
Mailing Address - Phone:479-646-3984
Mailing Address - Fax:479-646-2129
Practice Address - Street 1:3444 OLD GREENWOOD ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903
Practice Address - Country:US
Practice Address - Phone:479-646-3984
Practice Address - Fax:479-646-2129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty