Healthcare Provider Details

I. General information

NPI: 1346304680
Provider Name (Legal Business Name): ARVOLD CHIROPRACTIC OF BIRCHWOOD, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MAIN ST
COLFAX WI
54730
US

IV. Provider business mailing address

600 MAIN ST
COLFAX WI
54730
US

V. Phone/Fax

Practice location:
  • Phone: 715-962-2393
  • Fax: 715-962-2395
Mailing address:
  • Phone: 715-962-2393
  • Fax: 715-962-2395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3542
License Number StateWI

VIII. Authorized Official

Name: DR. DANIEL T ARVOLD
Title or Position: OWNER
Credential: DC
Phone: 715-962-2393