Provider Demographics
NPI:1043052343
Name:ARRENDALE, PAUL LESTER III
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:LESTER
Last Name:ARRENDALE
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8680 ROSEWOOD AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-4768
Mailing Address - Country:US
Mailing Address - Phone:330-417-1679
Mailing Address - Fax:
Practice Address - Street 1:8680 ROSEWOOD AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-4768
Practice Address - Country:US
Practice Address - Phone:330-417-1679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)