Clark Family Chiropractic
LBN: Clark Family Chiropractic
Clark Family Chiropractic is an health care organization with primary practice located at 2300 South 57Th Street Suite 1, Fort Smith AR 72903. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Clark Family Chiropractic can be contacted via phone (479) 484-0805, or through Clark, Betty Jo via phone (479) 484-0805.
Contact Information
Primary practice address
2300 South 57Th Street Suite 1
Fort Smith AR 72903
Phone: (479) 484-0805
Fax: (479) 452-1475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1596 | Arkansas |
| Chiropractic Providers / Chiropractor | 111N00000X | 1597 | Arkansas |
Profile Details
| NPI number | 1255406971 |
|---|---|
| LBN Legal business name | Clark Family Chiropractic |
| DBA Doing business as | |
| Authorized official | Clark, Betty Jo |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255406971 | NPPES |
| Other | 5X058 | BCBS | |
| Other | 5X057 | BCBS |
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