Healthcare Provider Details

I. General information

NPI: 1558034496
Provider Name (Legal Business Name): STEVEN ARNOLD MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 09/15/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11525 TAYLOR WELLS RD
CHARDON OH
44024-8910
US

IV. Provider business mailing address

11525 TAYLOR WELLS RD
CHARDON OH
44024-8910
US

V. Phone/Fax

Practice location:
  • Phone: 440-637-4229
  • Fax:
Mailing address:
  • Phone: 440-637-4229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN ARNOLD
Title or Position: PROVIDER AND PRESIDENT
Credential:
Phone: 440-637-4229