Provider Demographics
NPI:1336740026
Name:ARNETT, CALVIN
Entity Type:Individual
Prefix:MR
First Name:CALVIN
Middle Name:
Last Name:ARNETT
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 1:2702 FAIRMONT CT APT A
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-7902
Mailing Address - Country:US
Mailing Address - Phone:937-451-0181
Mailing Address - Fax:
Practice Address - Street 1:2702 FAIRMONT CT APT A
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-7902
Practice Address - Country:US
Practice Address - Phone:937-451-0181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-08
Last Update Date:2020-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No347C00000XTransportation ServicesPrivate Vehicle
No376J00000XNursing Service Related ProvidersHomemaker