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DR. SHAWN BEASLEY D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1700821055
Individual Registrant:DR. SHAWN BEASLEY D.C.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
4102 JEFFERSON AVE TEXARKANA, AR 71854-1512 US
Tel: 870-779-9924 Fax: 870-779-9329
Tel: 870-779-9924 Fax: 870-779-9329
Contact information for business:
4102 JEFFERSON AVE TEXARKANA, AR 71854-1512 US
Tel: 870-779-9924 Fax: 870-779-9329
Tel: 870-779-9924 Fax: 870-779-9329
Registration Information:
NPI: 1700821055
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | AR | 1607 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
