Provider Demographics
NPI:1346450053
Name:ARNETT, SHALIN (DO)
Entity type:Individual
Prefix:DR
First Name:SHALIN
Middle Name:
Last Name:ARNETT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WILLOW ST STE 201
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1029
Mailing Address - Country:US
Mailing Address - Phone:812-885-8030
Mailing Address - Fax:812-885-8031
Practice Address - Street 1:700 WILLOW ST STE 201
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1029
Practice Address - Country:US
Practice Address - Phone:812-885-8030
Practice Address - Fax:812-885-8031
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58-002208207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200988700Medicaid
IN200988700Medicaid