Provider Demographics
NPI:1386946713
Name:CENTRAL ARKANSAS CHIROPRACTIC
Entity type:Organization
Organization Name:CENTRAL ARKANSAS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CATHEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-716-9999
Mailing Address - Street 1:PO BOX 21670
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72221-1670
Mailing Address - Country:US
Mailing Address - Phone:501-716-9999
Mailing Address - Fax:501-716-9990
Practice Address - Street 1:6801 W 12TH ST
Practice Address - Street 2:SUITE E
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-2401
Practice Address - Country:US
Practice Address - Phone:501-716-9999
Practice Address - Fax:501-716-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1433111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty