1811710296 NPI number — SHILOH ACUPUNCTURE AND CHIROPRACTIC, PLLC

Table of content: DR. JOAO PAULO CARVALHO M.D. (NPI 1386707313)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811710296 NPI number — SHILOH ACUPUNCTURE AND CHIROPRACTIC, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHILOH ACUPUNCTURE AND CHIROPRACTIC, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811710296
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1005 LINWOOD DR STE B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARAGOULD
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72450-4919
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-476-2319
Provider Business Mailing Address Fax Number:
870-359-6094

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1005 LINWOOD DR STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARAGOULD
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72450-4919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-476-2319
Provider Business Practice Location Address Fax Number:
870-359-6094
Provider Enumeration Date:
11/05/2024

Additional Information

Authorized Official

Authorized Official Last Name:
MITCHELL
Authorized Official First Name:
PAIGE
Authorized Official Middle Name:
ASHLEY
Authorized Official Title or Position:
OWNER / CEO
Authorized Official Telephone Number:
870-476-2319

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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