Provider Demographics
NPI:1245246529
Name:ARNOLD, RICHARD CURTIS (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CURTIS
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 D ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25303-3107
Mailing Address - Country:US
Mailing Address - Phone:304-744-8951
Mailing Address - Fax:304-744-0165
Practice Address - Street 1:417 D ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25303-3107
Practice Address - Country:US
Practice Address - Phone:304-744-8951
Practice Address - Fax:304-744-0165
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV217213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVWV10600281OtherMEDICARE
WV0099541000Medicaid
WVT32414Medicare UPIN
WV0099541000Medicaid
WVWV10600281OtherMEDICARE