Provider Demographics
NPI:1366584229
Name:ARMOLD, DAVID CLINTON (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CLINTON
Last Name:ARMOLD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3647 BUCHANAN ST NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-1408
Mailing Address - Country:US
Mailing Address - Phone:763-788-9486
Mailing Address - Fax:
Practice Address - Street 1:6500 BROOKLYN BLVD.
Practice Address - Street 2:SUITE 101
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-1755
Practice Address - Country:US
Practice Address - Phone:763-566-8023
Practice Address - Fax:763-566-0630
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2184111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN230034OtherCHIROCARE
MN0460OtherHEALTH SERVICE MANAGEMENT
MN26D13AROtherBLUE CROSS BLUE SHIELD
MN230034OtherCHIROCARE