Provider Demographics
NPI:1629370044
Name:BRIAN J ARSENAULT, DC, LLC
Entity type:Organization
Organization Name:BRIAN J ARSENAULT, DC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARSENAULT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-635-2642
Mailing Address - Street 1:71 BRIDGE ST UNIT 3
Mailing Address - Street 2:PO BOX 939
Mailing Address - City:PELHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03076-3479
Mailing Address - Country:US
Mailing Address - Phone:603-635-2642
Mailing Address - Fax:603-635-8116
Practice Address - Street 1:71 BRIDGE ST UNIT 3
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NH
Practice Address - Zip Code:03076-3479
Practice Address - Country:US
Practice Address - Phone:603-635-2642
Practice Address - Fax:603-635-8116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH146-A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty