Arnold, Kent A

Arnold, Kent A is an individual health care provider with primary practice located at 405 W Jackson St , Carbondale IL 62901-1462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Arnold, Kent A can be contacted via phone (618) 549-0721.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 457-0469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-108187 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036.108187 Illinois

Profile Details

NPI number 1982684445
LBN Legal business name Arnold, Kent A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Sep 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982684445 NPPES
Other 084820 HEALTH ALLIANCE
MEDICAID 036108187-7 HEALTH ALLIANCE
Other 555952 HEALTH ALLIANCE
MEDICAID 036108187 HEALTH ALLIANCE
Other 3932056 HEALTH ALLIANCE

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