Organization · NPI-2
Wayne Chiropractic, INC
Clinic/Center · Corning, AR
NPI number1679703466
StatusActive
Last updated in NPPESJul 15, 2009
Details
- NPI
- 1679703466
- Entity type
- Organization (NPI-2)
- Legal business name
- Wayne Chiropractic, INC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2009
- Last updated
- Jul 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 15697 | AR | Yes |
Other names
- Wayne Chiropractic (Other Name)
Practice location
400 W 4th StCorning, AR 72422-2724
Phone 870-857-8840
Mailing address
913 Saint Francis StKennett, MO 63857-1779
Phone 573-888-8840
Authorized official
Chancellor P Wayne
Owner/President
5733442644
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