Provider Demographics
NPI:1396708814
Name:ARNDT, BRADLEY (DC)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:
Last Name:ARNDT
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 1:409 S WHITEWOMAN ST
Mailing Address - Street 2:P.O. BOX 277
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-9563
Mailing Address - Country:US
Mailing Address - Phone:740-622-4659
Mailing Address - Fax:740-622-4476
Practice Address - Street 1:409 S WHITEWOMAN ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-9563
Practice Address - Country:US
Practice Address - Phone:740-622-4659
Practice Address - Fax:740-622-4476
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2013225Medicaid
OH0838051Medicare ID - Type Unspecified
OH2013225Medicaid