Provider Demographics
NPI:1134101322
Name:ARNOLD, SARAH ELIZABETH (DC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:9428 S ELWOOD AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037-2317
Mailing Address - Country:US
Mailing Address - Phone:918-296-0525
Mailing Address - Fax:918-296-0526
Practice Address - Street 1:9428 S ELWOOD AVE STE 102
Practice Address - Street 2:
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-2317
Practice Address - Country:US
Practice Address - Phone:918-296-0525
Practice Address - Fax:918-296-0526
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3731111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
300522139Medicare ID - Type Unspecified
OK243509000Medicare PIN