Provider Demographics
NPI:1891051173
Name:BRENNAN, ARTHUR L (BS, DC)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:L
Last Name:BRENNAN
Suffix:
Gender:M
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:CRESCO
Mailing Address - State:IA
Mailing Address - Zip Code:52136-1521
Mailing Address - Country:US
Mailing Address - Phone:563-203-3900
Mailing Address - Fax:
Practice Address - Street 1:221 N ELM ST
Practice Address - Street 2:
Practice Address - City:CRESCO
Practice Address - State:IA
Practice Address - Zip Code:52136-1521
Practice Address - Country:US
Practice Address - Phone:563-203-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA099708111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor