Provider Demographics
NPI:1689675654
Name:DEL PILAR, ARNOLD JR (DO)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:
Last Name:DEL PILAR
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 E DAY RD STE 280
Mailing Address - Street 2:
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46545-3452
Mailing Address - Country:US
Mailing Address - Phone:574-271-0268
Mailing Address - Fax:574-271-0395
Practice Address - Street 1:270 E DAY RD STE 280
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-3452
Practice Address - Country:US
Practice Address - Phone:574-271-0268
Practice Address - Fax:574-271-0395
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02001173A207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100092300Medicaid
IN110052119OtherRR MEDICARE
IN000000090717OtherBCBS
IN236030AMedicare PIN
IN000000090717OtherBCBS