Provider Demographics
NPI:1588669279
Name:ARNDT, GERALD N (DC)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:N
Last Name:ARNDT
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:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-0277
Mailing Address - Country:US
Mailing Address - Phone:740-622-4659
Mailing Address - Fax:740-622-4476
Practice Address - Street 1:409 S WHITEWOMAN ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-9563
Practice Address - Country:US
Practice Address - Phone:740-622-4659
Practice Address - Fax:740-622-4476
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH54111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0214342Medicaid
OHT46340Medicare UPIN
OH0214342Medicaid