Healthcare Provider Details

I. General information

NPI: 1326380817
Provider Name (Legal Business Name): EVERY SPINE CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2013
Last Update Date: 03/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 HEFFNER RD
AUSTIN AR
72007-8810
US

IV. Provider business mailing address

2241 BILL FOSTER MEMORIAL HWY STE F
CABOT AR
72023-7221
US

V. Phone/Fax

Practice location:
  • Phone: 501-831-4425
  • Fax:
Mailing address:
  • Phone: 501-831-4425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JEREMY UNGERANK
Title or Position: OWNER
Credential: DC
Phone: 501-831-4425