Provider Information for 1063404135
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mr. MICHAEL CHARLES ARNOLD LIMHP LADC LPC
Sex: Male
NPI: 1063404135
Last Updated: 2016-09-29
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1063404135 | ||||||||||||||||
Enumeration Date | 2005-08-16 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 12035 Q ST OMAHA, NE 68137-3542 United States Phone: 402-991-0611 | Fax:402-991-6228 | ||||||||||||||||
Primary Practice Address | 12035 Q ST OMAHA, NE 68137-3542 United States Phone: 402-991-0611 | Fax:402-991-6228 | ||||||||||||||||
Secondary Practice Address(es) | |||||||||||||||||
Health Information Exchange |
| ||||||||||||||||
Other Identifiers |
| ||||||||||||||||
Taxonomy |
|