Provider Demographics
NPI:1992131049
Name:ARM SPECIALISTS, LLC
Entity type:Organization
Organization Name:ARM SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JONI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-456-2764
Mailing Address - Street 1:7230 ARBUCKLE CMNS # 178
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1791
Mailing Address - Country:US
Mailing Address - Phone:812-234-0979
Mailing Address - Fax:812-232-6335
Practice Address - Street 1:7230 ARBUCKLE CMNS # 178
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1791
Practice Address - Country:US
Practice Address - Phone:812-234-0979
Practice Address - Fax:812-232-6335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01065672174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201195880AMedicaid