Active NPI
Eamonn Arble
- Student in an Organized Health Care Education/Training Program
- Ann Arbor, MI
National Provider Identifier
1497163554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 6301015409
- Practice address
- 500 E Washington St
Suite 100
Ann Arbor, MI 48104-2057 - Phone
- (734) 764-3471
- NPI assigned
- Jul 31, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 6301015409 | MI | Primary |
Addresses
Primary practice location
500 E Washington St
Suite 100
Ann Arbor, MI 48104-2057
Mailing address
674 Prentis St
Detroit, MI 48201-1102
Phone (313) 530-9053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301015409 | MI | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1497163554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "674 PRENTIS ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011102",
"telephone_number": "313-530-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E WASHINGTON ST",
"address_2": "SUITE 100",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042057",
"telephone_number": "734-764-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARBLE",
"first_name": "EAMONN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "6301015409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.