Courtney Chiropractic Clinic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

988 Issued in AR

Legal business name

COURTNEY CHIROPRACTIC CLINIC, P.A.

Practice address

1421 S Cherry St
Pine Bluff, AR 71601-5621

Phone

(870) 534-1231

Fax

(870) 534-3945

NPI assigned

Jun 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Patsy Lewellyn

Title

Office Manager

Phone

(870) 534-1231

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326082629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S CHERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716015621",
            "telephone_number": "870-534-1231",
            "fax_number": "870-534-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S CHERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716015621",
            "telephone_number": "870-534-1231",
            "fax_number": "870-534-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWELLYN",
        "authorized_official_first_name": "PATSY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-534-1231",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.