Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35079745 | OH |
Y | 2080P0204X | Pediatric Emergency Doctor | 35079745 | OH |
NPI | 1053318253 |
---|---|
Provider Name | Amy Michele Arnett |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 21/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0886868 | (05) | OH |
1842148000 | (05) | WV |
4801071 | (05) | KY |
F36491 | (02) |