Provider Demographics
NPI:1528281714
Name:STEWART, ARTHUR WESLEY (DC)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:WESLEY
Last Name:STEWART
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 1:1139 NW BROAD ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2378
Mailing Address - Country:US
Mailing Address - Phone:615-217-0097
Mailing Address - Fax:615-848-0038
Practice Address - Street 1:1139 NW BROAD ST
Practice Address - Street 2:STE 103
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2390
Practice Address - Country:US
Practice Address - Phone:615-217-0097
Practice Address - Fax:615-848-0038
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4078897OtherBCBS PROVIDER ID
TN830378456OtherTAX ID
TN3971262Medicare PIN