Ginnise Arline – Prosthetic/Orthotic Supplier

Key facts

NPI: 1497460802
Entity type: Individual (NPI type 1)
Primary specialty: Prosthetic/Orthotic Supplier 335E00000X
License: 1196158 (CT)
Practice address: 48 Capitol Ave
#2R
Hartford, CT 06106-9402
Phone: (860) 985-8608
NPI assigned: Jan 19, 2023
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Arline Enterprise LLC Prosthetic/Orthotic Supplier · Hartford, CT · NPI 1528785334

NPD Authorized official SPECIALIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1196158	CT	MD	Prosthetic/Orthotic Supplier

Practice roles

Organization	Specialty	Status	New patients
Arline Enterprise LLC	Specialist	Current	Accepting new patients

Locations

430 New Park Ave
Ste 102
West Hartford, CT 06110
Phone (647) 400-5180

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X		CT
Prosthetic/Orthotic Supplier	335E00000X	1196158	CT	Yes

Addresses

Primary practice location

48 Capitol Ave
#2R
Hartford, CT 06106-9402

Mailing address

430 New Park Ave Ste 102
West Hartford, CT 06110-1142
Phone (860) 985-8608

Other providers in Hartford, CT

All providers in Hartford, CT · Prosthetic/Orthotic Supplier in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2023. 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.

Verify at the official NPI Registry.