Provider Demographics
NPI:1629042015
Name:ARNOLD, JAME FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:JAME
Middle Name:FRANCIS
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042
Mailing Address - Country:US
Mailing Address - Phone:717-272-2212
Mailing Address - Fax:717-272-2576
Practice Address - Street 1:419 S 3RD ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042
Practice Address - Country:US
Practice Address - Phone:717-272-2212
Practice Address - Fax:717-272-2576
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067634L208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50029920OtherCBC
PA001861917Medicaid
PAAR1311680OtherCBS
PA50029920OtherCBC
PA051552Medicare PIN