Provider Demographics
NPI:1376519504
Name:POISAL, ARTHUR J (DC)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:J
Last Name:POISAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4409 CENTRAL AVENUE PIKE
Mailing Address - Street 2:STE 102
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-4081
Mailing Address - Country:US
Mailing Address - Phone:865-687-0474
Mailing Address - Fax:865-687-6333
Practice Address - Street 1:4409 CENTRAL AVENUE PIKE
Practice Address - Street 2:STE 102
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37912-4081
Practice Address - Country:US
Practice Address - Phone:865-687-0474
Practice Address - Fax:865-687-6333
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN1980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor