MEDICARE: EVERY SPINE CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1326380817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERY SPINE CHIROPRACTIC

Provider Business Mailing Address
First Line	:	2241 BILL FOSTER MEMORIAL HWY STE F
Second Line	:
City	:	CABOT
State	:	AR
Zip	:	72023-7221
Country	:	US
Telephone Number	:	501-831-4425
Fax Number	:

Provider Business Practice Location Address
First Line	:	365 HEFFNER RD
Second Line	:
City	:	AUSTIN
State	:	AR
Zip	:	72007-8810
Country	:	US
Telephone Number	:	501-831-4425
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JEREMY UNGERANK
Credential	:	DC
Telephone Number	:	501-831-4425

Provider Enumeration Date	:	03/22/2013
Last Update Date	:	03/22/2013

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Directions to “EVERY SPINE CHIROPRACTIC ” Practice Location

Language	Start Address	Practice Location

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