Healthcare Provider Details

I. General information

NPI: 1508538547
Provider Name (Legal Business Name): CATES CHIROPRACTIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2021
Last Update Date: 09/29/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3931 N SHILOH DR STE 1A
FAYETTEVILLE AR
72703-4427
US

IV. Provider business mailing address

3931 N SHILOH DR STE 1A
FAYETTEVILLE AR
72703-4427
US

V. Phone/Fax

Practice location:
  • Phone: 479-530-5470
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. SAMUEL CATES
Title or Position: CHIROPRACTIC PHYSICIAN
Credential: DC
Phone: 479-530-5470