Provider Demographics
NPI:1902019714
Name:ARKLE, DANIEL RALPH (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:RALPH
Last Name:ARKLE
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 1:1150 N MOUNTAIN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786
Mailing Address - Country:US
Mailing Address - Phone:909-946-2068
Mailing Address - Fax:909-946-2078
Practice Address - Street 1:1150 N MOUNTAIN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786
Practice Address - Country:US
Practice Address - Phone:909-946-2068
Practice Address - Fax:909-946-2078
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12116111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor