Provider Demographics
NPI:1477761070
Name:ARENDS, CARL WILLIAM (HIS)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:WILLIAM
Last Name:ARENDS
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 N ANNE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-4355
Mailing Address - Country:US
Mailing Address - Phone:509-888-3277
Mailing Address - Fax:509-888-4327
Practice Address - Street 1:313 E. WOODIN AVE.
Practice Address - Street 2:
Practice Address - City:CHELAN
Practice Address - State:WA
Practice Address - Zip Code:98816
Practice Address - Country:US
Practice Address - Phone:509-888-3277
Practice Address - Fax:509-888-4327
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2670237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist