MEDICARE: ARLINGTON FAMILY PRACTICE, INC.

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	261QP2300X	Primary Care Clinic/Center

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

General Provider Information

NPI Number	:	1629275003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLINGTON FAMILY PRACTICE, INC.

Provider Business Mailing Address
First Line	:	906 N. MAIN STREET
Second Line	:	P.O. BOX 319
City	:	ARLINGTON
State	:	OH
Zip	:	45814-0319
Country	:	US
Telephone Number	:	419-365-5153
Fax Number	:	419-365-0081

Provider Business Practice Location Address
First Line	:	906 N. MAIN STREET
Second Line	:
City	:	ARLINGTON
State	:	OH
Zip	:	45814-0319
Country	:	US
Telephone Number	:	419-365-5153
Fax Number	:	419-365-0081

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEPHEN JOHN FRESHWATER
Credential	:	M.D.
Telephone Number	:	419-365-5153

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	02/21/2008

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Directions to “ARLINGTON FAMILY PRACTICE, INC. ” Practice Location

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