Provider Demographics
NPI:1346304680
Name:ARVOLD CHIROPRACTIC OF BIRCHWOOD, LTD.
Entity Type:Organization
Organization Name:ARVOLD CHIROPRACTIC OF BIRCHWOOD, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:ARVOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-962-2393
Mailing Address - Street 1:600 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:WI
Mailing Address - Zip Code:54730
Mailing Address - Country:US
Mailing Address - Phone:715-962-2393
Mailing Address - Fax:715-962-2395
Practice Address - Street 1:600 MAIN ST
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:WI
Practice Address - Zip Code:54730
Practice Address - Country:US
Practice Address - Phone:715-962-2393
Practice Address - Fax:715-962-2395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3542111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty