Healthcare Provider Details
I. General information
NPI: 1477747665
Provider Name (Legal Business Name): ARNOLD FAMILY CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2007
Last Update Date: 02/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
115 S SAGINAW ST SUITE 4
SAINT CHARLES MI
48655-1452
US
IV. Provider business mailing address
115 S SAGINAW ST SUITE 4
SAINT CHARLES MI
48655-1452
US
V. Phone/Fax
- Phone: 989-865-6100
- Fax:
- Phone: 989-865-6100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HEIDI
MARIE
ARNOLD
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 989-865-6100