Healthcare Provider Details

I. General information

NPI: 1720142698
Provider Name (Legal Business Name): ARNETT CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 12/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N 26TH ST STE 202
LAFAYETTE IN
47904-2849
US

IV. Provider business mailing address

PO BOX 5545
LAFAYETTE IN
47903-5545
US

V. Phone/Fax

Practice location:
  • Phone: 765-448-8000
  • Fax: 765-448-8335
Mailing address:
  • Phone: 765-448-8000
  • Fax: 765-448-8335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateIN

VIII. Authorized Official

Name: MICHAEL SKEHAN
Title or Position: PRESIDENT
Credential: MD
Phone: 765-448-8000