1437715943 NPI number — STEPHEN ARNOLD PA

Table of content: STEPHEN ARNOLD PA (NPI 1437715943)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437715943 NPI number — STEPHEN ARNOLD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARNOLD
Provider First Name:
STEPHEN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437715943
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/01/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 468
Provider Second Line Business Mailing Address:
16 DYER LN N, BELGRADE, ME 04917
Provider Business Mailing Address City Name:
SKOWHEGAN
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04976-0468
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-474-5121
Provider Business Mailing Address Fax Number:
207-474-3441

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
46 FAIRVIEW AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SKOWHEGAN
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04976-1481
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-474-5121
Provider Business Practice Location Address Fax Number:
207-474-3441
Provider Enumeration Date:
05/10/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X , with the licence number:  PA1950 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363A00000X , with the licence number: PA1950 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363AM0700X , with the licence number: PA9121919 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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