Provider Demographics
NPI:1073334223
Name:ARSENAULT, PATRICK (HIS)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:ARSENAULT
Suffix:
Gender:
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 FOUNDERS PKWY STE C2
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7535
Mailing Address - Country:US
Mailing Address - Phone:303-814-1725
Mailing Address - Fax:303-814-9594
Practice Address - Street 1:62 FOUNDERS PKWY STE C2
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-7535
Practice Address - Country:US
Practice Address - Phone:303-814-1725
Practice Address - Fax:303-814-9594
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1139237700000X
COHAD0000573237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist