Provider Demographics
NPI:1013110527
Name:ARNE G PELTO CHIROPRACTIC, INC
Entity type:Organization
Organization Name:ARNE G PELTO CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARNE
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:PELTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-297-4133
Mailing Address - Street 1:356 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:WINCHENDON
Mailing Address - State:MA
Mailing Address - Zip Code:01475-1585
Mailing Address - Country:US
Mailing Address - Phone:978-297-4133
Mailing Address - Fax:
Practice Address - Street 1:356 RIVER ST
Practice Address - Street 2:
Practice Address - City:WINCHENDON
Practice Address - State:MA
Practice Address - Zip Code:01475-1585
Practice Address - Country:US
Practice Address - Phone:978-297-4133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty