Provider Demographics
NPI:1619972502
Name:WHITFIELD, ARLUS J (DC)
Entity Type:Individual
Prefix:DR
First Name:ARLUS
Middle Name:J
Last Name:WHITFIELD
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 1:311 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-1558
Mailing Address - Country:US
Mailing Address - Phone:765-649-6861
Mailing Address - Fax:
Practice Address - Street 1:311 JACKSON ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-1558
Practice Address - Country:US
Practice Address - Phone:765-649-6861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100172840AMedicaid
IN000000088904OtherANTHEM BC/BS
IN000000088904OtherANTHEM BC/BS
U 24183Medicare UPIN