Provider Demographics
NPI:1477604619
Name:ARVIG, AARON RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:RICHARD
Last Name:ARVIG
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 1:14145 FOREST BLVD N
Mailing Address - Street 2:SUITE #102
Mailing Address - City:HUGO
Mailing Address - State:MN
Mailing Address - Zip Code:55038-8434
Mailing Address - Country:US
Mailing Address - Phone:651-429-6000
Mailing Address - Fax:651-426-2209
Practice Address - Street 1:14145 FOREST BLVD N
Practice Address - Street 2:SUITE #102
Practice Address - City:HUGO
Practice Address - State:MN
Practice Address - Zip Code:55038-8434
Practice Address - Country:US
Practice Address - Phone:651-429-6000
Practice Address - Fax:651-426-2209
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4488111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38954900Medicaid