Provider Demographics
NPI:1508832221
Name:AARHUS, BETH MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:MARIE
Last Name:AARHUS
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 1:678 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-5109
Mailing Address - Country:US
Mailing Address - Phone:408-977-0667
Mailing Address - Fax:408-977-0660
Practice Address - Street 1:678 N 1ST ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-5109
Practice Address - Country:US
Practice Address - Phone:408-977-0667
Practice Address - Fax:408-977-0660
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC- 27375111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0273750Medicare ID - Type Unspecified
CAU88984Medicare UPIN