MEDICARE: NAOMI E ARENSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	4301085549	MI
2	2084N0400X	Neurology Physician	51556	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	130E26028	OTHER	MI	BLUE CROSS BLUE SHIELD MI

General Provider Information

NPI Number	:	1033102546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI E ARENSON MD

Provider Business Mailing Address
First Line	:	250 HOSPITAL PL
Second Line	:
City	:	SOLDOTNA
State	:	AK
Zip	:	99669-7559
Country	:	US
Telephone Number	:	907-714-4038
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 HOSPITAL PL STE 105
Second Line	:
City	:	SOLDOTNA
State	:	AK
Zip	:	99669-7559
Country	:	US
Telephone Number	:	907-714-4090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	10/28/2024

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Directions to “ NAOMI E ARENSON MD” Practice Location

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