Myshka Clinic, Pa in Jonesboro - Chiropractor
Myshka Clinic, Pa - NPI 1104979665
Myshka Clinic, Pa is a Chiropractor in Jonesboro, Arkansas. Myshka Clinic, Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Myshka Clinic, Pa is 1104979665. The last update date is 2013-07-29.
Myshka Clinic, Pa's current location address is 2817 S Caraway Rd, Jonesboro, Arkansas. You can contact this provider via phone number 8709325661 and fax number 8709320890. The mailing address for Myshka Clinic, Pa is 2817 S Caraway Rd, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Myshka Clinic, Pa |
|---|---|
| Address | 2817 S Caraway Rd, Jonesboro, Arkansas |
| Phone Number | 8709325661 |
| Fax Number | 8709320890 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Myshka Jeannette Susan |
| Credentials | D.C. |
| Telephone Number | 8709325661 |
NPI Number Detail
| NPI Number | 1104979665 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2013-07-29 |
Provider Mailing Address Detail
| Address | 2817 S Caraway Rd |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724017305 |
| Phone Number | 8709325661 |
| Fax Number | 8709320890 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1052 |
|
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 |
|---|---|---|---|
| 59592 | AR | AR BCBS NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Myshka Clinic, Pa by the Centers for Medicare & Medicaid Services?
The Myshka Clinic, Pa has been assigned the NPI (National Provider Identifier) 1104979665 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Myshka Clinic, Pa's facilities are situated?
The facilities of Myshka Clinic, Pa are physically located at the following address: 2817 S Caraway Rd, Jonesboro, AR, 724017305.
What is Myshka Clinic, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Myshka Clinic, Pa is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did Myshka Clinic, Pa receive its 1104979665 assignment from the Centers for Medicare & Medicaid Services?
The Myshka Clinic, Pa was assigned its 1104979665 on 2007-01-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Myshka Clinic, Pa's details last updated?
The information pertaining to the Myshka Clinic, Pa, including its address, specialty, and other details, was most recently updated on 2013-07-29.