MEDICARE: DELTA CHIROPRACTIC PLLC

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	:	1669323242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELTA CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	719 HAMILTON AVE E
Second Line	:
City	:	WYNNE
State	:	AR
Zip	:	72396-2313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	719 HAMILTON AVE E
Second Line	:
City	:	WYNNE
State	:	AR
Zip	:	72396-2313
Country	:	US
Telephone Number	:	870-587-0640
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. OLIVIA MYERS BUNCE
Credential	:	DC
Telephone Number	:	870-821-1923

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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