Provider Demographics
NPI:1023360724
Name:ARTHUR CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:ARTHUR CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:312-351-2358
Mailing Address - Street 1:1716 S SANTA FE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHANUTE
Mailing Address - State:KS
Mailing Address - Zip Code:66720-3225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1716 S SANTA FE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CHANUTE
Practice Address - State:KS
Practice Address - Zip Code:66720-3225
Practice Address - Country:US
Practice Address - Phone:312-351-2358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty