Healthcare Provider Details

I. General information

NPI: 1386731024
Provider Name (Legal Business Name): LOUIS WILLIAM ARENA PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 04/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 WELDIN RD
WILMINGTON DE
19803-4941
US

IV. Provider business mailing address

601 WELDIN RD
WILMINGTON DE
19803-4941
US

V. Phone/Fax

Practice location:
  • Phone: 302-494-1968
  • Fax:
Mailing address:
  • Phone: 302-494-1968
  • Fax: 302-764-3735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC50000540
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: