Provider Demographics
NPI:1083068738
Name:HARPER, ARTHUR I
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:HARPER
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5294 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-4328
Mailing Address - Country:US
Mailing Address - Phone:810-341-2769
Mailing Address - Fax:
Practice Address - Street 1:5294 CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-4328
Practice Address - Country:US
Practice Address - Phone:810-341-2769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIH616071497684247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other