MEDICARE: DR. MARVIN T. ARNSDORFF, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1089	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215191366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. MARVIN T. ARNSDORFF, P.A.

Provider Business Mailing Address
First Line	:	1004 ANNA KNAPP BOULEVARD
Second Line	:	SUITE 1
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3134
Country	:	US
Telephone Number	:	843-881-0046
Fax Number	:	843-881-0098

Provider Business Practice Location Address
First Line	:	1004 ANNA KNAPP BOULEVARD
Second Line	:	SUITE 1
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3134
Country	:	US
Telephone Number	:	843-881-0046
Fax Number	:	843-881-0098

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MARVIN T ARNSDORFF
Credential	:	D.C.
Telephone Number	:	843-881-0046

Provider Enumeration Date	:	07/17/2008
Last Update Date	:	07/17/2008

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