Provider Demographics
NPI:1790958478
Name:OAKVILLE HEALTH AND REHABILITATION CENTER PC
Entity Type:Organization
Organization Name:OAKVILLE HEALTH AND REHABILITATION CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:ARCONATI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-846-2100
Mailing Address - Street 1:5684 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-4243
Mailing Address - Country:US
Mailing Address - Phone:314-846-2100
Mailing Address - Fax:314-846-4975
Practice Address - Street 1:5684 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-4243
Practice Address - Country:US
Practice Address - Phone:314-846-2100
Practice Address - Fax:314-846-4975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty