Provider Demographics
NPI:1821219833
Name:ARTHUR FAYGENHOLTZ DC INC
Entity Type:Organization
Organization Name:ARTHUR FAYGENHOLTZ DC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:FAYGENHOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:831-477-0886
Mailing Address - Street 1:7128 DANKO DR.
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003
Mailing Address - Country:US
Mailing Address - Phone:831-688-1596
Mailing Address - Fax:
Practice Address - Street 1:3811 PORTOLA DR
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-5232
Practice Address - Country:US
Practice Address - Phone:831-477-0886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherFED.TAX. #