Provider Demographics
NPI:1346397924
Name:ARNOLD, PATRICK JAY (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:JAY
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 NEW RD
Mailing Address - Street 2:SUITE #17
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1045
Mailing Address - Country:US
Mailing Address - Phone:609-926-3777
Mailing Address - Fax:609-926-1789
Practice Address - Street 1:2021 NEW RD
Practice Address - Street 2:SUITE #17
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1045
Practice Address - Country:US
Practice Address - Phone:609-926-3777
Practice Address - Fax:609-926-1789
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03486111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223792473OtherTAX ID #
NJMC03486OtherLICENSE #
NJT87605Medicare UPIN
NJ223792473OtherTAX ID #
NJMC03486OtherLICENSE #