Provider Demographics
NPI:1518092022
Name:ARNOLD, JAMIE J (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:J
Last Name:ARNOLD
Suffix:
Gender:F
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:PO BOX 643
Mailing Address - Street 2:
Mailing Address - City:GODDARD
Mailing Address - State:KS
Mailing Address - Zip Code:67052-0643
Mailing Address - Country:US
Mailing Address - Phone:316-794-2480
Mailing Address - Fax:
Practice Address - Street 1:228 N. MAIN ST
Practice Address - Street 2:
Practice Address - City:GODDARD
Practice Address - State:KS
Practice Address - Zip Code:67052
Practice Address - Country:US
Practice Address - Phone:316-794-2480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04804111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSU92270Medicare UPIN
KS060562Medicare ID - Type Unspecified