Provider Demographics
NPI:1700861523
Name:ARENA, PATRICK J (DC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:J
Last Name:ARENA
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 1:3370 ROTHSVILLE RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:AKRON
Mailing Address - State:PA
Mailing Address - Zip Code:17501
Mailing Address - Country:US
Mailing Address - Phone:717-738-1333
Mailing Address - Fax:717-738-1875
Practice Address - Street 1:3370 ROTHSVILLE RD
Practice Address - Street 2:SUITE #1
Practice Address - City:AKRON
Practice Address - State:PA
Practice Address - Zip Code:17501
Practice Address - Country:US
Practice Address - Phone:717-738-1333
Practice Address - Fax:717-738-1875
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002261L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA078979Medicare ID - Type Unspecified