Provider Demographics
NPI:1093576233
Name:ARNOLD, SYDNEY COLLINS (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:COLLINS
Last Name:ARNOLD
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:NICOLE
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:6667 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CASS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48726-1558
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4472 MAIN ST
Practice Address - Street 2:
Practice Address - City:BROWN CITY
Practice Address - State:MI
Practice Address - Zip Code:48416-7908
Practice Address - Country:US
Practice Address - Phone:810-346-2751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601012875363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant