Healthcare Provider Details
I. General information
NPI: 1619054434
Provider Name (Legal Business Name): DABBS CHIROPRACTIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2350 MALVERN AVE STE C
HOT SPRINGS AR
71901-8036
US
IV. Provider business mailing address
2350 MALVERN AVE STE C
HOT SPRINGS AR
71901-8036
US
V. Phone/Fax
- Phone: 501-262-9899
- Fax:
- Phone: 501-262-9899
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LORI
RENE'
DABBS
Title or Position: PRESIDENT
Credential: D.C.
Phone: 501-262-9899