Provider Demographics
NPI:1316033723
Name:SEIDEN, ARTHUR ERIC (DC)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:ERIC
Last Name:SEIDEN
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 1:1713 MT. VERNON ROAD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4243
Mailing Address - Country:US
Mailing Address - Phone:770-399-6772
Mailing Address - Fax:770-396-9363
Practice Address - Street 1:1713 MT. VERNON ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4243
Practice Address - Country:US
Practice Address - Phone:770-399-6772
Practice Address - Fax:770-396-9363
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001756111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA4340927OtherAETNA
GAGRP3194Medicare PIN
GA$$$$$$$$$AMedicare PIN
GAT97822Medicare UPIN