Jacksonville Chiropractic P. A.

NPI #1629258595 in Jacksonville, Arkansas

Provider Information

NPI Number: 1629258595
Entity Type: Organization
Organization Name: Jacksonville Chiropractic P. A.
Primary Specialty: Chiropractor
Enumeration Date: Nov 8, 2007
Last Updated: Aug 5, 2008

Practice Location

Address: 1727 T P WHITE DR
City: Jacksonville
State: Arkansas
ZIP Code: 72076-2861
Phone: (501) 985-7711

Authorized Official

Name: DR. BLAKE W BENNETT, D.C.
Title: OWNER
Phone: (501) 985-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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