Provider Demographics
NPI:1447506068
Name:DONCHEFF CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:DONCHEFF CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:I
Authorized Official - Last Name:DONCHEFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-994-2888
Mailing Address - Street 1:75 HIGHWAY 62 412
Mailing Address - Street 2:SUITE G
Mailing Address - City:ASH FLAT
Mailing Address - State:AR
Mailing Address - Zip Code:72513-9594
Mailing Address - Country:US
Mailing Address - Phone:870-994-2888
Mailing Address - Fax:
Practice Address - Street 1:75 HIGHWAY 62 412
Practice Address - Street 2:SUITE G
Practice Address - City:ASH FLAT
Practice Address - State:AR
Practice Address - Zip Code:72513-9594
Practice Address - Country:US
Practice Address - Phone:870-994-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR59009OtherMEDICARE
AR180489718Medicaid
ART20514Medicare UPIN