Provider Demographics
NPI:1386780989
Name:DAVIGO, ARNOLD LEWIS (DC)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:LEWIS
Last Name:DAVIGO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7825 FAIROAKS DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-3611
Mailing Address - Country:US
Mailing Address - Phone:925-846-8213
Mailing Address - Fax:
Practice Address - Street 1:7825 FAIROAKS DR
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3611
Practice Address - Country:US
Practice Address - Phone:925-846-8213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC11715111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0117150Medicare ID - Type Unspecified