Healthcare Provider Details

I. General information

NPI: 1649255787
Provider Name (Legal Business Name): CYNTHIA SUE BEEMER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICHAEL CUPIT LMT

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 07/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S WEST END ST
SPRINGDALE AR
72762
US

IV. Provider business mailing address

1000 S WEST END ST
SPRINGDALE AR
72764-5239
US

V. Phone/Fax

Practice location:
  • Phone: 479-751-8686
  • Fax: 479-751-6022
Mailing address:
  • Phone: 479-751-8686
  • Fax: 479-751-6022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1207
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: