Provider Demographics
NPI:1548306376
Name:NIEDERKOHR, ARTHUR (DC)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:NIEDERKOHR
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 1:51145 WASHINGTON ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:NEW BALTIMORE
Mailing Address - State:MI
Mailing Address - Zip Code:48047-2100
Mailing Address - Country:US
Mailing Address - Phone:586-716-8338
Mailing Address - Fax:586-716-9418
Practice Address - Street 1:51145 WASHINGTON ST
Practice Address - Street 2:SUITE C
Practice Address - City:NEW BALTIMORE
Practice Address - State:MI
Practice Address - Zip Code:48047-2100
Practice Address - Country:US
Practice Address - Phone:586-716-8338
Practice Address - Fax:586-716-9418
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor