Provider Demographics
NPI:1659474856
Name:ARKANSAS PIONEER CHIROPRACTIC HEALTH CENTRE P A
Entity type:Organization
Organization Name:ARKANSAS PIONEER CHIROPRACTIC HEALTH CENTRE P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:VIERNOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-265-7335
Mailing Address - Street 1:PO BOX 151718
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-1258
Mailing Address - Country:US
Mailing Address - Phone:817-265-7335
Mailing Address - Fax:817-265-7361
Practice Address - Street 1:1419 W ARKANSAS LANE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013
Practice Address - Country:US
Practice Address - Phone:817-265-7335
Practice Address - Fax:817-265-7361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC2741111N00000X
TXDC9151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T16412Medicare UPIN
601040Medicare ID - Type Unspecified