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25255 Highway 5, Suite K, Lonsdale, AR 72087-9519 | |
(501) 922-5621 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 25255 Highway 5, Lonsdale, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1700283504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 1621 (Arkansas) | Primary |
Provider Name | Matt C Huneycutt |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1417962721 PECOS PAC ID: 3779558796 Enrollment ID: I20040901000573 |
Mailing Address | Practice Location Address |
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25255 Highway 5, Suite K, Lonsdale, AR 72087-9519 Ph: (501) 922-5621 | 25255 Highway 5, Suite K, Lonsdale, AR 72087-9519 Ph: (501) 922-5621 |