Provider Demographics
NPI:1558418913
Name:R CURTIS ARNOLD
Entity Type:Organization
Organization Name:R CURTIS ARNOLD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:R
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:304-744-8951
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV217213EP0504X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0099541000Medicaid
WV9307571OtherMEDICARE
WV0099994000Medicaid
WV1149100001Medicare NSC
WV0593262Medicare ID - Type UnspecifiedRC ARNOLD
WV0099541000Medicaid
WV0099994000Medicaid
WVU12938Medicare UPIN