1780867077 NPI number — ARNOLD CHIROPRACTIC CENTER, LLC

Table of content: (NPI 1780867077)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780867077 NPI number — ARNOLD CHIROPRACTIC CENTER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARNOLD CHIROPRACTIC CENTER, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780867077
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25802 INTERSTATE 45 N
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
SPRING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77386-1032
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
936-321-9900
Provider Business Mailing Address Fax Number:
281-419-9901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25802 INTERSTATE 45 N
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
SPRING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77386-1032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
936-321-9900
Provider Business Practice Location Address Fax Number:
281-419-9901
Provider Enumeration Date:
12/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ARNOLD
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
VERNE
Authorized Official Title or Position:
SOLE MEMBER/MANAGER
Authorized Official Telephone Number:
936-321-9900

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  6406 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1194942359 . This is a "NPI" identifier . This identifiers is of the category "OTHER".




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