Provider Demographics
NPI:1366473639
Name:SCHOLL, ARLEN EARLE (DC)
Entity Type:Individual
Prefix:
First Name:ARLEN
Middle Name:EARLE
Last Name:SCHOLL
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 1:3520 E INDIAN SCHOOL RD STE C
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5156
Mailing Address - Country:US
Mailing Address - Phone:602-954-9444
Mailing Address - Fax:602-954-1248
Practice Address - Street 1:3520 E INDIAN SCHOOL RD STE C
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5156
Practice Address - Country:US
Practice Address - Phone:602-954-9444
Practice Address - Fax:602-954-1248
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5891111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU73913Medicare UPIN