Mena Spine & Rehab, Pa in Mena - Chiropractor
Mena Spine & Rehab, Pa - NPI 1013972629
Mena Spine & Rehab, Pa is a Chiropractor in Mena, Arkansas. Mena Spine & Rehab, Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mena Spine & Rehab, Pa is 1013972629. The last update date is 2013-08-28.
Mena Spine & Rehab, Pa's current location address is Po Box 833, Mena, Arkansas. You can contact this provider via phone number 4794374444 and fax number 4794373361. The mailing address for Mena Spine & Rehab, Pa is Po Box 833, Mena, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mena Spine & Rehab, Pa |
|---|---|
| Address | Po Box 833, Mena, Arkansas |
| Phone Number | 4794374444 |
| Fax Number | 4794373361 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Putman T. Kervin |
| Credentials | DC |
| Telephone Number | 4794374444 |
NPI Number Detail
| NPI Number | 1013972629 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2013-08-28 |
Provider Mailing Address Detail
| Address | Po Box 833 |
|---|---|
| City | Mena |
| State | Arkansas (AR) |
| Post Code | 719530833 |
| Phone Number | 4794374444 |
| Fax Number | 4794373361 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1573 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 159192718 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mena Spine & Rehab, Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Mena Spine & Rehab, Pa has been assigned the NPI (National Provider Identifier) 1013972629. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mena Spine & Rehab, Pa located?
The Mena Spine & Rehab, Pa is located at Po Box 833, Mena, AR 719530833.
What is Mena Spine & Rehab, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mena Spine & Rehab, Pa is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date was the 1013972629 assigned to Mena Spine & Rehab, Pa?
The Mena Spine & Rehab, Pa was issued its 1013972629 on 2006-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mena Spine & Rehab, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mena Spine & Rehab, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-28.