1841426426 NPI number — CHRIS REED, D.C., P.A.

Table of content: (NPI 1841426426)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841426426 NPI number — CHRIS REED, D.C., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRIS REED, D.C., P.A.
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:
BRYANT FAMILY CHIROPRACTIC
Provider Other Organization Name Type Code:
3
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:
1841426426
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3405 MARKET PLACE AVE
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
BRYANT
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72022-9203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-847-0868
Provider Business Mailing Address Fax Number:
501-512-1759

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3405 MARKET PLACE AVE
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
BRYANT
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72022-9203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-847-0868
Provider Business Practice Location Address Fax Number:
501-512-1759
Provider Enumeration Date:
06/09/2009

Additional Information

Authorized Official

Authorized Official Last Name:
PINEDA
Authorized Official First Name:
RACHELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
501-847-0868

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1647 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com