Provider Demographics
NPI:1427231372
Name:GERALD N ARNDT
Entity Type:Organization
Organization Name:GERALD N ARNDT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-563-4248
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-0277
Mailing Address - Country:US
Mailing Address - Phone:330-563-4248
Mailing Address - Fax:
Practice Address - Street 1:409 S WHITEWOMAN ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-9563
Practice Address - Country:US
Practice Address - Phone:330-563-4248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN54111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0214342Medicaid
OH9293372Medicare PIN
OH9293371Medicare PIN
NM0385243Medicare PIN