Provider Demographics
NPI:1043380538
Name:ARP, CYNTHIA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:ARP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 WEST LOCUST STREET
Mailing Address - Street 2:SUITE 208
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-2827
Mailing Address - Country:US
Mailing Address - Phone:563-322-2345
Mailing Address - Fax:
Practice Address - Street 1:121 WEST LOCUST STREET
Practice Address - Street 2:SUITE 208
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-2827
Practice Address - Country:US
Practice Address - Phone:563-322-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05670111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA52495Medicare PIN