MEDICARE: LINUS E ARREY

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1083427660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINUS E ARREY

Provider Business Mailing Address
First Line	:	550 LUDWELL PL
Second Line	:
City	:	WEST CARROLLTON
State	:	OH
Zip	:	45449-2497
Country	:	US
Telephone Number	:	937-794-2622
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 LUDWELL PL
Second Line	:
City	:	WEST CARROLLTON
State	:	OH
Zip	:	45449-2497
Country	:	US
Telephone Number	:	937-794-2622
Fax Number	:

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

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	01/28/2025

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Directions to “ LINUS E ARREY ” Practice Location

Language	Start Address	Practice Location

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