Provider Demographics
NPI:1902080724
Name:INVESTEC INC.
Entity Type:Organization
Organization Name:INVESTEC INC.
Other - Org Name:SKINNER CHIROPRACTIC & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-851-6685
Mailing Address - Street 1:123 AUDUBON DR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-5500
Mailing Address - Country:US
Mailing Address - Phone:501-851-6685
Mailing Address - Fax:
Practice Address - Street 1:123 AUDUBON DR
Practice Address - Street 2:SUITE 700
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-5500
Practice Address - Country:US
Practice Address - Phone:501-851-6685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F583Medicare PIN