Provider Demographics
NPI:1275747156
Name:ARNOLD G. MILNER, D.P.M.
Entity Type:Organization
Organization Name:ARNOLD G. MILNER, D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:MILNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:440-774-1100
Mailing Address - Street 1:60 S. PLEASANT STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074-1633
Mailing Address - Country:US
Mailing Address - Phone:440-774-1100
Mailing Address - Fax:440-774-4306
Practice Address - Street 1:60 SOUTH PLEASANT ST.
Practice Address - Street 2:SUITE A
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-1633
Practice Address - Country:US
Practice Address - Phone:440-774-1100
Practice Address - Fax:440-774-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2050213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2286537Medicaid
OH2286537Medicaid
OH9315421Medicare PIN