MEDICARE: DR. JOE L ARREOLA D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038-010229	IL
2	111N00000X	Chiropractor	4299-12	WI

General Provider Information

NPI Number	:	1407862329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOE L ARREOLA D.C.

Provider Business Mailing Address
First Line	:	1831 W COURT ST
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53548-3406
Country	:	US
Telephone Number	:	608-754-7463
Fax Number	:	608-754-1437

Provider Business Practice Location Address
First Line	:	1831 W COURT ST
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53548-3406
Country	:	US
Telephone Number	:	608-754-7463
Fax Number	:	608-754-1437

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	10/02/2013

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