Healthcare Provider Details

I. General information

NPI: 1689893760
Provider Name (Legal Business Name): CHANDLER CHIROPRACTIC P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 E. MAIN ST. STE. C
SILOAM SPRINGS AR
72761-5504
US

IV. Provider business mailing address

2023 E. MAIN ST. STE. C
SILOAM SPRINGS AR
72761-5504
US

V. Phone/Fax

Practice location:
  • Phone: 479-524-5555
  • Fax: 479-524-8054
Mailing address:
  • Phone: 479-524-5555
  • Fax: 479-524-8054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number1384
License Number StateAR

VIII. Authorized Official

Name: DR. DENISE A CHANDLER
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC
Phone: 479-524-5555