Provider Demographics
NPI:1073512554
Name:ARNOLD ORTHOTICS & PROSTHETICS, INC.
Entity Type:Organization
Organization Name:ARNOLD ORTHOTICS & PROSTHETICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:BUTLER
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:318-425-2400
Mailing Address - Street 1:619 JORDAN ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4748
Mailing Address - Country:US
Mailing Address - Phone:318-425-2400
Mailing Address - Fax:318-425-2405
Practice Address - Street 1:619 JORDAN ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4748
Practice Address - Country:US
Practice Address - Phone:318-425-2400
Practice Address - Fax:318-425-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAC6869OtherBCBS LA PROVIDER NUMBER
LA82 00056OtherUNITED HEALTHCARE
TX530164OtherBCBS OF TEXAS
LA1538671Medicaid
LA=========OtherTRICARE
LA1538671Medicaid
LA=========AROtherOCHNER'S HEALTH/HUMANA
LA1209840002Medicare NSC