David Arthur
Individual provider Active NPI Private Vehicle · Lyons, IN
NPI 1023439643 · NPPES record last updated Dec 27, 2013
Key facts
- NPI
- 1023439643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- Practice address
- 350 North Wine St
Lyons, IN 47443-0102 - Phone
- (812) 829-8152
- NPI assigned
- Dec 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Yes |
Addresses
Primary practice location
350 North Wine St
Lyons, IN 47443-0102
Mailing address
PO Box 102
Lyons, IN 47443-0102
Phone (812) 829-8152
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104323217099 | Medicaid | IN |
Other providers in Lyons, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.