Healthcare Provider Details

I. General information

NPI: 1558558577
Provider Name (Legal Business Name): ARLINGTON CHIROPRACTIC CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2007
Last Update Date: 10/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 SOUTH MAIN STREET
ARLINGTON SD
57212
US

IV. Provider business mailing address

PO BOX 367
ARLINGTON SD
57212-0367
US

V. Phone/Fax

Practice location:
  • Phone: 605-983-5131
  • Fax: 605-983-4647
Mailing address:
  • Phone: 605-983-5131
  • Fax: 605-983-4647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number844
License Number StateSD

VIII. Authorized Official

Name: DR. JAMES RUSSELL HEUER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 605-983-5131