| Wayne Chiropractic | |
|
400 W 4th St Corning AR 72422-2724 | |
| (870) 857-8840 | |
| Not Available |
| Full Name | Wayne Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 W 4th St, Corning, Arkansas |
| Authorized Official Name and Position | Chancellor P Wayne (OWNER/PRESIDENT) |
| Authorized Official Contact | 5733442644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Chiropractic 913 Saint Francis St Kennett MO 63857-1779 Ph: (573) 888-8840 | Wayne Chiropractic 400 W 4th St Corning AR 72422-2724 Ph: (870) 857-8840 |
| NPI Number | 1679703466 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/15/2009 |
| Medicare PECOS PAC ID | 4082766183 |
|---|---|
| Medicare Enrollment ID | O20120116000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679703466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 15697 (Arkansas) | Primary |
| Provider Name | Chancellor Wayne |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588733471 PECOS PAC ID: 4385796481 Enrollment ID: I20120116000189 |
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