Virginia Marie Arnold, DC
Individual provider Active NPI Chiropractor · Elkhorn, WI
NPI 1821148503 · NPPES record last updated Nov 3, 2011
Key facts
- NPI
- 1821148503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3739-012 (WI)
- Practice address
- 5516 State Road 11
Elkhorn, WI 53121-4278 - Phone
- (262) 723-1532
- Fax
- (262) 723-1532
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3739-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia M Arnold, DC SC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3739-012 | WI | Yes |
| Nutritionist | 133N00000X | 3739-012 | WI |
Addresses
Primary practice location
5516 State Road 11
Elkhorn, WI 53121-4278
Mailing address
5516 State Road 11
Elkhorn, WI 53121-4278
Phone (262) 723-1532
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000035528 | Medicaid | WI |
Other providers in Elkhorn, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.