Provider Demographics
NPI:1558556126
Name:ARNDT, CHARLES NORMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:NORMAN
Last Name:ARNDT
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 1:20 PIDGEON HILL DRIVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165
Mailing Address - Country:US
Mailing Address - Phone:703-444-4141
Mailing Address - Fax:703-444-5407
Practice Address - Street 1:20 PIDGEON HILL DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165
Practice Address - Country:US
Practice Address - Phone:703-444-4141
Practice Address - Fax:703-444-5407
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
105606OtherBCBS
U25933Medicare UPIN
105606OtherBCBS