Healthcare Provider Details

I. General information

NPI: 1447506068
Provider Name (Legal Business Name): DONCHEFF CHIROPRACTIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 08/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 HIGHWAY 62 412 SUITE G
ASH FLAT AR
72513-9594
US

IV. Provider business mailing address

75 HIGHWAY 62 412 SUITE G
ASH FLAT AR
72513-9594
US

V. Phone/Fax

Practice location:
  • Phone: 870-994-2888
  • Fax:
Mailing address:
  • Phone: 870-994-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY I DONCHEFF
Title or Position: OWNER
Credential: D.C.
Phone: 870-994-2888