Provider Demographics
NPI:1861594426
Name:WEINBERG, ARNOLD B (DC)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:B
Last Name:WEINBERG
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 1:137C N NARBERTH AVE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1923
Mailing Address - Country:US
Mailing Address - Phone:610-667-7463
Mailing Address - Fax:610-667-2386
Practice Address - Street 1:137C N NARBERTH AVE
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1923
Practice Address - Country:US
Practice Address - Phone:610-667-7463
Practice Address - Fax:610-667-2386
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002684-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0048478000OtherKEYSTONE, INDEP. BLUE CRO
PA4262770OtherAETNA
PA23-2428304OtherTRUE TAX NUMBER
PA2496195OtherUS HEALTHCARE
PA23-2428304OtherTRUE TAX NUMBER