=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134101322
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH ELIZABETH ARNOLD DC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2005
-----------------------------------------------------
Last Update Date | 12/08/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9428 S ELWOOD AVE STE 102
-----------------------------------------------------
City | JENKS
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74037-2317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-296-0525
-----------------------------------------------------
Fax | 918-296-0526
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9428 S ELWOOD AVE STE 102
-----------------------------------------------------
City | JENKS
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74037-2317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-296-0525
-----------------------------------------------------
Fax | 918-296-0526
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 3731
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------