Provider Demographics
NPI:1124551064
Name:ARENTSEN, BREANN JOY (DC)
Entity Type:Individual
Prefix:DR
First Name:BREANN
Middle Name:JOY
Last Name:ARENTSEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 SCHOLAR WAY
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-2091
Mailing Address - Country:US
Mailing Address - Phone:414-839-9220
Mailing Address - Fax:
Practice Address - Street 1:1907 VARNER ST STE C2
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-8104
Practice Address - Country:US
Practice Address - Phone:483-419-6955
Practice Address - Fax:843-484-3640
Is Sole Proprietor?:No
Enumeration Date:2017-04-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDC4220111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor