Provider Demographics
NPI:1992493597
Name:ALEXANDE, CHASE (DC)
Entity type:Individual
Prefix:DR
First Name:CHASE
Middle Name:
Last Name:ALEXANDE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 CARSON CV STE A
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-4851
Mailing Address - Country:US
Mailing Address - Phone:501-472-7749
Mailing Address - Fax:
Practice Address - Street 1:965 CARSON CV STE A
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-4851
Practice Address - Country:US
Practice Address - Phone:501-472-7749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor