Provider Demographics
NPI:1336206820
Name:ARSTIKAITIS, ALAN A (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:A
Last Name:ARSTIKAITIS
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 1:7870 WINCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-2307
Mailing Address - Country:US
Mailing Address - Phone:901-795-6363
Mailing Address - Fax:901-795-0465
Practice Address - Street 1:7870 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-2307
Practice Address - Country:US
Practice Address - Phone:901-795-6363
Practice Address - Fax:901-795-0465
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1149111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3677685Medicare PIN