Provider Demographics
NPI:1235174715
Name:ARNY, RICHARD A (DC, CCSP)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:ARNY
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3639 DURHAM DR
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-6338
Mailing Address - Country:US
Mailing Address - Phone:330-745-5271
Mailing Address - Fax:
Practice Address - Street 1:1113 S CLEVELAND MASSILLON RD
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1611
Practice Address - Country:US
Practice Address - Phone:330-666-8888
Practice Address - Fax:330-666-0523
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH591111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0440053Medicaid
OHT47178Medicare UPIN
OH0440053Medicaid