Provider Demographics
NPI:1609313055
Name:MARVIN J. ARTHUR, III, DC, PC
Entity Type:Organization
Organization Name:MARVIN J. ARTHUR, III, DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:434-384-1631
Mailing Address - Street 1:3012 FOREST HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2312
Mailing Address - Country:US
Mailing Address - Phone:434-384-1631
Mailing Address - Fax:434-384-7932
Practice Address - Street 1:3012 FOREST HILLS CIR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2312
Practice Address - Country:US
Practice Address - Phone:434-384-1631
Practice Address - Fax:434-384-7932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556658111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty