Provider Demographics
NPI:1902677115
Name:M&R HEALTH & WELLNESS LLC
Entity Type:Organization
Organization Name:M&R HEALTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:FORTE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:470-219-0052
Mailing Address - Street 1:1008 NW J ST STE J
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-4103
Mailing Address - Country:US
Mailing Address - Phone:470-219-0052
Mailing Address - Fax:
Practice Address - Street 1:1008 NW J ST STE J
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4103
Practice Address - Country:US
Practice Address - Phone:470-219-0052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty