Provider Demographics
NPI:1770643488
Name:LABELLA, ARTHUR ANTHONY (DC)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:ANTHONY
Last Name:LABELLA
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 1:1599 HIGHLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960
Mailing Address - Country:US
Mailing Address - Phone:772-562-4002
Mailing Address - Fax:
Practice Address - Street 1:1599 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3662
Practice Address - Country:US
Practice Address - Phone:772-562-4002
Practice Address - Fax:772-562-4855
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89689Medicare ID - Type UnspecifiedCHIROPRACTOR
FLT88895Medicare UPIN