Provider Demographics
NPI:1134371750
Name:ARVOLD CHIROPRACTIC, S.C.
Entity type:Organization
Organization Name:ARVOLD CHIROPRACTIC, S.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARVOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-246-7500
Mailing Address - Street 1:2134 HIGHWAY 64
Mailing Address - Street 2:
Mailing Address - City:NEW RICHMOND
Mailing Address - State:WI
Mailing Address - Zip Code:54017-7607
Mailing Address - Country:US
Mailing Address - Phone:715-246-7500
Mailing Address - Fax:715-246-5020
Practice Address - Street 1:2134 HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:NEW RICHMOND
Practice Address - State:WI
Practice Address - Zip Code:54017-7607
Practice Address - Country:US
Practice Address - Phone:715-246-7500
Practice Address - Fax:715-246-5020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty