Provider Demographics
NPI:1194009753
Name:ARCO, RICHARD IAN (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:IAN
Last Name:ARCO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:I
Other - Last Name:ARCO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:5437 HIXSON PIKE
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-1232
Mailing Address - Country:US
Mailing Address - Phone:423-842-1440
Mailing Address - Fax:423-842-1409
Practice Address - Street 1:5437 HIXSON PIKE
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-3238
Practice Address - Country:US
Practice Address - Phone:423-842-1440
Practice Address - Fax:423-842-1409
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor