Provider Demographics
NPI:1144379413
Name:ARISHIN, JOHN ALVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALVIN
Last Name:ARISHIN
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 1:5637 N PERSHING AVE
Mailing Address - Street 2:H8A
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-4955
Mailing Address - Country:US
Mailing Address - Phone:209-957-0366
Mailing Address - Fax:209-472-9433
Practice Address - Street 1:5637 N PERSHING AVE
Practice Address - Street 2:H8A
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-4955
Practice Address - Country:US
Practice Address - Phone:209-957-0366
Practice Address - Fax:209-472-9433
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13439111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0134390Medicare ID - Type Unspecified