Affleck, Aaron Jon
Affleck, Aaron Jon is an sole proprietor health care provider with primary practice located at 2900 Valencia Dr , Idaho Falls ID 83404-7594. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Affleck, Aaron Jon can be contacted via phone (208) 523-6868.Contact Information
Primary practice address
2900 Valencia Dr
Idaho Falls ID 83404-7594
Phone: (208) 523-6868
Fax: (208) 523-7272
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M8206 | Idaho |
Profile Details
NPI number | 1861507857 |
---|---|
LBN Legal business name | Affleck, Aaron Jon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 20th, 2006 |
Last updated | Mar 10th, 2015 - about 9 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 | 1861507857 | NPPES |
Idaho | MEDICAID | 002797900 | |
Idaho | Other | 000010032972 | |
Idaho | Other | J4431 |
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