Provider Demographics
NPI:1871530287
Name:CHRISTOPHER E. & SARAH B. TATE, D.C., P.A.
Entity type:Organization
Organization Name:CHRISTOPHER E. & SARAH B. TATE, D.C., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:B
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-362-4004
Mailing Address - Street 1:PO BOX 1378
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-1378
Mailing Address - Country:US
Mailing Address - Phone:501-362-4004
Mailing Address - Fax:501-362-1881
Practice Address - Street 1:110 N 11TH ST
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543
Practice Address - Country:US
Practice Address - Phone:501-362-4004
Practice Address - Fax:501-362-1881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR146313718Medicaid