MEDICARE: MISS LINDSEY NICOLE SIMS D.C.

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	111NI0900X	Internist Chiropractor	1695	AR

General Provider Information

NPI Number	:	1336295385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LINDSEY NICOLE SIMS D.C.

Provider Business Mailing Address
First Line	:	309 N CHESTNUT ST
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-4411
Country	:	US
Telephone Number	:	870-741-2244
Fax Number	:	870-741-9113

Provider Business Practice Location Address
First Line	:	309 N CHESTNUT ST
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-4411
Country	:	US
Telephone Number	:	870-741-2244
Fax Number	:	870-741-9113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	10/31/2007

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