Provider Demographics
NPI:1811465008
Name:HARAWAY, ARTHUR CREWS
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:CREWS
Last Name:HARAWAY
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 1:7719 ANOKA RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-3301
Mailing Address - Country:US
Mailing Address - Phone:804-721-0622
Mailing Address - Fax:
Practice Address - Street 1:7719 ANOKA RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-3301
Practice Address - Country:US
Practice Address - Phone:804-721-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies