Provider Demographics
NPI:1699861195
Name:SIEFKEN, ARNOLD G (DC)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:G
Last Name:SIEFKEN
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 1:701 1ST AVE. S.
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401
Mailing Address - Country:US
Mailing Address - Phone:701-252-0569
Mailing Address - Fax:701-252-0569
Practice Address - Street 1:701 1ST AVE. S.
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401
Practice Address - Country:US
Practice Address - Phone:701-252-0569
Practice Address - Fax:701-252-0569
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND4303OtherBLUE CROSS & BLUE SHIELD
ND13933Medicaid
ND4303OtherBLUE CROSS & BLUE SHIELD
ND4303Medicare ID - Type Unspecified