Healthcare Provider Details

I. General information

NPI: 1487863171
Provider Name (Legal Business Name): MEGHAN KATHLEEN ARNDTS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 W MCCREIGHT AVE STE 106
SPRINGFIELD OH
45504-1853
US

IV. Provider business mailing address

30 W MCCREIGHT AVE STE 106
SPRINGFIELD OH
45504-1853
US

V. Phone/Fax

Practice location:
  • Phone: 937-523-9820
  • Fax:
Mailing address:
  • Phone: 937-523-9820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number34012059
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number02005629A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number5101016652
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: