Provider Demographics
NPI:1508955535
Name:COLQUITT, ARTHUR BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:BRIAN
Last Name:COLQUITT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10015 OLD COLUMBIA RD
Mailing Address - Street 2:SUITE E 245
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1703
Mailing Address - Country:US
Mailing Address - Phone:410-792-9702
Mailing Address - Fax:410-792-8444
Practice Address - Street 1:10015 OLD COLUMBIA RD
Practice Address - Street 2:SUITE E 245
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1703
Practice Address - Country:US
Practice Address - Phone:410-792-9702
Practice Address - Fax:410-792-8444
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1596111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52694202OtherMARYLAND RENDERING NUMBER
MDS8330001OtherBCBS FED PHYS ID
MD52694202OtherMARYLAND RENDERING NUMBER