Provider Demographics
NPI:1720529373
Name:ROLLINGHER, ARIN
Entity Type:Individual
Prefix:
First Name:ARIN
Middle Name:
Last Name:ROLLINGHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARIN
Other - Middle Name:
Other - Last Name:REISMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:851 GUERRERO ST
Mailing Address - Street 2:APT 6
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2268
Mailing Address - Country:US
Mailing Address - Phone:480-225-1279
Mailing Address - Fax:
Practice Address - Street 1:851 GUERRERO ST
Practice Address - Street 2:APT 6
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2268
Practice Address - Country:US
Practice Address - Phone:480-225-1279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 17315171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist