Provider Demographics
NPI:1588849657
Name:ARTHUR E SEIDEN DC PC
Entity Type:Organization
Organization Name:ARTHUR E SEIDEN DC PC
Other - Org Name:SEIDEN CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER - PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:SEIDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-399-6772
Mailing Address - Street 1:1713 MOUNT VERNON RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4243
Mailing Address - Country:US
Mailing Address - Phone:770-399-6772
Mailing Address - Fax:770-396-9363
Practice Address - Street 1:1713 MT. VERNON RD
Practice Address - Street 2:SUITE 2
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4243
Practice Address - Country:US
Practice Address - Phone:770-399-6772
Practice Address - Fax:770-396-9363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001756111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1588849657Medicare PIN
GAT97822Medicare UPIN
GAGRP3194Medicare PIN