Provider Demographics
NPI:1902934599
Name:DR. CINDY BEEMER PA
Entity Type:Organization
Organization Name:DR. CINDY BEEMER PA
Other - Org Name:BEEMER BACK CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BEEMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:479-751-8686
Mailing Address - Street 1:1000 S WEST END ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-5239
Mailing Address - Country:US
Mailing Address - Phone:479-751-8686
Mailing Address - Fax:479-751-6022
Practice Address - Street 1:1000 S WEST END ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-5239
Practice Address - Country:US
Practice Address - Phone:479-751-8686
Practice Address - Fax:479-751-6022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1207111N00000X
AR1695111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1336295385OtherNPI DR. LINDSEY SIMS
AR12K156718Medicaid
AR1649255787OtherNPI DR. BEEMER
AR12K156718Medicaid
AR59713Medicare ID - Type UnspecifiedDR. BEEMER