Healthcare Provider Details

I. General information

NPI: 1609991819
Provider Name (Legal Business Name): EDWIN THOMAS ARNOLD JR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 04/25/2022
Certification Date: 04/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1738 GAR HWY
SWANSEA MA
02777-3906
US

IV. Provider business mailing address

1738 GAR HWY
SWANSEA MA
02777-3906
US

V. Phone/Fax

Practice location:
  • Phone: 401-822-3676
  • Fax: 401-826-1127
Mailing address:
  • Phone: 401-822-3676
  • Fax: 401-826-1127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1092
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3780
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: