Provider Demographics
NPI:1376694695
Name:ARLINGTON CHIROPRACTIC CLINIC,INC
Entity Type:Organization
Organization Name:ARLINGTON CHIROPRACTIC CLINIC,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VIPUL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-743-2222
Mailing Address - Street 1:6919 MERRILL RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-2616
Mailing Address - Country:US
Mailing Address - Phone:904-743-2222
Mailing Address - Fax:904-743-3087
Practice Address - Street 1:6919 MERRILL RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32277-2616
Practice Address - Country:US
Practice Address - Phone:904-743-2222
Practice Address - Fax:904-743-3087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8351111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty