Provider Demographics
NPI:1437681442
Name:ARNOLD, JOHN M (CP)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 E WATERFORD ST
Mailing Address - Street 2:
Mailing Address - City:WAKARUSA
Mailing Address - State:IN
Mailing Address - Zip Code:46573-9552
Mailing Address - Country:US
Mailing Address - Phone:765-635-1075
Mailing Address - Fax:574-862-0020
Practice Address - Street 1:408 E WATERFORD ST
Practice Address - Street 2:
Practice Address - City:WAKARUSA
Practice Address - State:IN
Practice Address - Zip Code:46573-9552
Practice Address - Country:US
Practice Address - Phone:574-862-0007
Practice Address - Fax:574-862-0020
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier