Georgel, Aaron D
Georgel, Aaron D is an individual health care provider with primary practice located at 4123 Dutchman'S Lane Ste. 401, Louisville KY 40207-4733. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Georgel, Aaron D can be contacted via phone (502) 394-6341.Contact Information
Primary practice address
4123 Dutchman'S Lane Ste. 401
Louisville KY 40207-4733
Phone: (502) 394-6341
Fax: (502) 394-6340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA692 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA692 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1154473759 |
|---|---|
| LBN Legal business name | Georgel, Aaron D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 21st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154473759 | NPPES |
| Other | 085460 | SIHO - CTS | |
| Other | 2838725000 | SIHO - CTS | |
| Other | 000000507776 | SIHO - CTS | |
| Other | P00394137 | SIHO - CTS | |
| Other | 50014981 | SIHO - CTS | |
| Other | 50030383 | SIHO - CTS | |
| MEDICAID | 95001962 | SIHO - CTS |
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