Healthcare Provider Details
I. General information
NPI: 1235174715
Provider Name (Legal Business Name): RICHARD A ARNY D.C., C.C.S.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 06/18/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1113 S CLEVELAND MASSILLON RD
COPLEY OH
44321-1611
US
IV. Provider business mailing address
3639 DURHAM DR
NORTON OH
44203-6338
US
V. Phone/Fax
- Phone: 330-666-8888
- Fax: 330-666-0523
- Phone: 330-745-5271
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | 591 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: