Healthcare Provider Details
I. General information
NPI: 1396598165
Provider Name (Legal Business Name): CATHERINE D ARNOLD DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/10/2024
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1650 GENERAL BOOTH BLVD STE 100A
VIRGINIA BEACH VA
23454-5609
US
IV. Provider business mailing address
1253 NIMMO PKWY STE 110
VIRGINIA BEACH VA
23456-7782
US
V. Phone/Fax
- Phone: 757-689-3113
- Fax:
- Phone: 757-918-7761
- Fax: 757-689-3597
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 0104557978 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: