| |
4898 Highway 178 West, Lakeview, AR 72642 | |
(870) 431-8900 | |
(870) 431-8810 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 4898 Highway 178 West, Lakeview, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356411276 | NPI | - | NPPES |
101032718 | Medicaid | AR | |
DC2383 | Other | AR | RAILROAD MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 904 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
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Po Box 148, Lakeview, AR 72642-0148 Ph: (870) 431-8900 | 4898 Highway 178 West, Lakeview, AR 72642 Ph: (870) 431-8900 |