Arentsen Family Chiropractic LLC

Organization Active NPI Chiropractor · Summerville, SC

NPI 1003499096 · NPPES record last updated Sep 20, 2021

Key facts

NPI
1003499096
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
Legal business name
ARENTSEN FAMILY CHIROPRACTIC LLC
Practice address
1907 Varner St Ste C2
Summerville, SC 29486-8104
Phone
(414) 839-9220
NPI assigned
Apr 28, 2021
Organization subpart
No

Authorized official

Name
Dr. Breann Joy Arentsen, DC
Title
Co-Owner
Phone
(843) 419-6955

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210706001553 SC Part B Supplier - Clinic/Group Practice 5799187332 Receives reassigned benefits from 2 practitioners
Practice locations: Summerville, SC

National Provider Directory

Locations

1907 Varner St
Ste C2
Summerville, SC 29486
Phone (414) 839-9220

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X Yes

Addresses

Primary practice location

1907 Varner St Ste C2
Summerville, SC 29486-8104

Mailing address

1907 Varner St Ste C2
Summerville, SC 29486-8104
Phone (843) 419-6955

Other identifiers

IdentifierTypeStateIssuer
1124551064OtherNPI

Other names

  • Kindred Bliss Chiropractic Doing business as

Other providers in Summerville, SC

All providers in Summerville, SC · Chiropractor in South Carolina

Sources for this page

Verify at the official NPI Registry.