Provider Demographics
NPI:1497091144
Name:ARNDT, THOM L JR (DC)
Entity Type:Individual
Prefix:DR
First Name:THOM
Middle Name:L
Last Name:ARNDT
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14530 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-2319
Mailing Address - Country:US
Mailing Address - Phone:262-781-7540
Mailing Address - Fax:262-781-7950
Practice Address - Street 1:14530 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-2319
Practice Address - Country:US
Practice Address - Phone:262-781-7540
Practice Address - Fax:262-781-7950
Is Sole Proprietor?:No
Enumeration Date:2012-12-28
Last Update Date:2013-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4810-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor