Aaron, Brad R

Aaron, Brad R is an sole proprietor health care provider with primary practice located at 101 Ne Front St , New Boston TX 75570-2906. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Aaron, Brad R can be contacted via phone (903) 628-3937.

Contact Information

Primary practice address
101 Ne Front St New Boston TX 75570-2906
Phone: (903) 628-3937
Fax: (903) 832-4227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4764-TG Texas

Profile Details

NPI number 1073588810
LBN Legal business name Aaron, Brad R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated May 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073588810 NPPES
Arkansas MEDICAID 158214722
Arkansas MEDICAID 019400301

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