Barry Fletcher Southerland in Fort Smith - Chiropractor
Barry Fletcher Southerland - NPI 1790740405
Barry Fletcher Southerland is a Chiropractor in Fort Smith, Arkansas. Barry Fletcher Southerland practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Barry Fletcher Southerland is 1790740405. The last update date is 2010-06-17.
Barry Fletcher Southerland's current location address is 1200 S Waldron Rd Ste 155, Fort Smith, Arkansas. You can contact this provider via phone number 4794520031 and fax number 4794520034. The mailing address for Barry Fletcher Southerland is 1200 S Waldron Rd Ste 155, Fort Smith, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Barry Fletcher Southerland |
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Address | 1200 S Waldron Rd Ste 155, Fort Smith, Arkansas |
Phone Number | 4794520031 |
Fax Number | 4794520034 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1790740405 |
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Provider Enumeration Date | 2006-04-18 |
Last Updated Date | 2010-06-17 |
Provider Mailing Address Detail
Address | 1200 S Waldron Rd Ste 155 |
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City | Fort Smith |
State | Arkansas (AR) |
Post Code | 729032673 |
Phone Number | 4794520031 |
Fax Number | 4794520034 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 964 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
119025718 | AR | -- | |
200043080A | OK | OKLAHOMA MEDICAID | |
59852 | AR | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code assigned to Barry Fletcher Southerland by the Centers for Medicare & Medicaid Services?
The Barry Fletcher Southerland has been issued the NPI (National Provider Identifier) 1790740405 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Barry Fletcher Southerland's physical address?
The Barry Fletcher Southerland is physically located at 1200 S Waldron Rd Ste 155, in the city of Fort Smith, AR, with the postal code 729032673.
What is the Barry Fletcher Southerland's area of specialization and corresponding taxonomy classification?
The Barry Fletcher Southerland's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790740405 to Barry Fletcher Southerland?
The Centers for Medicare & Medicaid Services originally issued the 1790740405 to Barry Fletcher Southerland on 2006-04-18.
When was the information pertaining to Barry Fletcher Southerland most recently updated or revised?
The details related to Barry Fletcher Southerland, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-17.
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