Provider Demographics
NPI:1043210610
Name:NEMCHENKO, ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:NEMCHENKO
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 1:992 OLD EAGLE SCHOOL RD
Mailing Address - Street 2:SUITE 902
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1803
Mailing Address - Country:US
Mailing Address - Phone:610-337-7463
Mailing Address - Fax:610-337-9505
Practice Address - Street 1:992 OLD EAGLE SCHOOL RD
Practice Address - Street 2:SUITE 902
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1803
Practice Address - Country:US
Practice Address - Phone:610-337-7463
Practice Address - Fax:610-337-9505
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA8708111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1332274OtherBLUE CROSS BLUE SHIELD
PA083980UMEMedicare PIN