Provider Demographics
NPI:1790740181
Name:ARKFELD, TED ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:TED
Middle Name:ALAN
Last Name:ARKFELD
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 1:854 N CENTER AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-1686
Mailing Address - Country:US
Mailing Address - Phone:989-448-8065
Mailing Address - Fax:877-620-0872
Practice Address - Street 1:854 N CENTER AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1686
Practice Address - Country:US
Practice Address - Phone:989-448-8065
Practice Address - Fax:877-620-0872
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008243111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T41353Medicare UPIN
T41353Medicare UPIN