Provider Demographics
NPI:1487742367
Name:ARNAIZ, RICHARD C (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:ARNAIZ
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 1:1018 RUCKER BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-3688
Mailing Address - Country:US
Mailing Address - Phone:334-308-9413
Mailing Address - Fax:334-308-9413
Practice Address - Street 1:1018 RUCKER BLVD STE B
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-3688
Practice Address - Country:US
Practice Address - Phone:334-308-9413
Practice Address - Fax:334-308-9413
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor