MEDICARE: C.A.R.E. CHIROPRACTIC CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1218	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467630921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C.A.R.E. CHIROPRACTIC CLINIC

Provider Business Mailing Address
First Line	:	2618 W MLK JR BLVD
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72701-7698
Country	:	US
Telephone Number	:	479-521-7755
Fax Number	:

Provider Business Practice Location Address
First Line	:	2618 W MLK JR BLVD
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72701-7698
Country	:	US
Telephone Number	:	479-521-7755
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. LARRY C WEEKS
Credential	:	D.C.
Telephone Number	:	479-521-7755

Provider Enumeration Date	:	02/07/2008
Last Update Date	:	11/29/2010

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Directions to “C.A.R.E. CHIROPRACTIC CLINIC ” Practice Location

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