Healthcare Provider Details

I. General information

NPI: 1528098852
Provider Name (Legal Business Name): SUSAN K ARNOULT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 EASTERN AVE STE 135
GREENCASTLE PA
17225-1100
US

IV. Provider business mailing address

50 EASTERN AVE STE 135
GREENCASTLE PA
17225-1100
US

V. Phone/Fax

Practice location:
  • Phone: 717-597-3151
  • Fax: 717-597-8933
Mailing address:
  • Phone: 717-597-3151
  • Fax: 717-597-8933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD069549L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: