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NPI Code Detail

MEDICARE: MR. WYATT LABAN ARNETT

MEDICARE:  MR. WYATT LABAN ARNETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide
2376J00000XHomemaker2574497OH
3171M00000XCase Manager/Care Coordinator
4101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.191569OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518775667
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WYATT LABAN ARNETT
Provider Business Mailing Address
First Line : 607 PEBBLE PLACE DR APT M
Second Line :
City : DELAWARE
State : OH
Zip : 43015-4203
Country : US
Telephone Number : 614-743-3864
Fax Number : 380-500-4614
Provider Business Practice Location Address
First Line : 670 PEBBLE PLACE DRIVE
Second Line : APT M
City : DELAWARE
State : OH
Zip : 43015
Country : US
Telephone Number : 614-743-3864
Fax Number : 380-500-4614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2024
Last Update Date : 02/10/2026

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Directions to “ MR. WYATT LABAN ARNETT ” Practice Location

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