Provider Demographics
NPI:1407862329
Name:ARREOLA, JOE L (DC)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:L
Last Name:ARREOLA
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 1:1831 W COURT ST
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53548-3406
Mailing Address - Country:US
Mailing Address - Phone:608-754-7463
Mailing Address - Fax:608-754-1437
Practice Address - Street 1:1831 W COURT ST
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-3406
Practice Address - Country:US
Practice Address - Phone:608-754-7463
Practice Address - Fax:608-754-1437
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010229111N00000X
WI4299-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
K12277Medicare ID - Type Unspecified