Provider Demographics
NPI:1134978471
Name:STINSON CHIROPRACTIC
Entity type:Organization
Organization Name:STINSON CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:STINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:479-879-4169
Mailing Address - Street 1:1071 HAR-BER LAKES DRIVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762
Mailing Address - Country:US
Mailing Address - Phone:479-396-5117
Mailing Address - Fax:
Practice Address - Street 1:1071 HAR-BER LAKES DRIVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762
Practice Address - Country:US
Practice Address - Phone:479-396-5117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty