Provider Demographics
NPI:1760810873
Name:ARNDT CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ARNDT CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOM
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:ARNDT
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:262-781-7540
Mailing Address - Street 1:14530 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-2319
Mailing Address - Country:US
Mailing Address - Phone:262-781-7540
Mailing Address - Fax:262-781-7950
Practice Address - Street 1:14530 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-2319
Practice Address - Country:US
Practice Address - Phone:262-781-7540
Practice Address - Fax:262-781-7950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4810-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty