Provider Demographics
NPI:1205573995
Name:ARCENEAUX, CHRISTOPHER HOWARD
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:HOWARD
Last Name:ARCENEAUX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1022
Mailing Address - Street 2:
Mailing Address - City:SUNSET
Mailing Address - State:LA
Mailing Address - Zip Code:70584-1022
Mailing Address - Country:US
Mailing Address - Phone:337-662-3081
Mailing Address - Fax:
Practice Address - Street 1:805 NAPOLEON AVE SUITE B
Practice Address - Street 2:
Practice Address - City:SUNSET
Practice Address - State:LA
Practice Address - Zip Code:70584
Practice Address - Country:US
Practice Address - Phone:337-662-3081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203784235372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion