Provider Demographics
NPI:1326031659
Name:ARNETT, CAROLYN MICHELLE (DO)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:MICHELLE
Last Name:ARNETT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 27TH ST STE B06
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-2681
Mailing Address - Country:US
Mailing Address - Phone:740-356-8681
Mailing Address - Fax:740-353-7900
Practice Address - Street 1:1735 27TH ST STE 202
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2679
Practice Address - Country:US
Practice Address - Phone:740-356-2496
Practice Address - Fax:740-356-6334
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34005960207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH22000000833371OtherANTHEM BCBS
1179851OtherCHA
OH2119264Medicaid
KY64014244OtherUNISYS
1179851OtherCHA
KY64014244OtherUNISYS