Degroot, Aaron Randall

Degroot, Aaron Randall is an individual health care provider with primary practice located at 1515 W Deer Valley Rd Ste B106 , Phoenix AZ 85027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Legal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Degroot, Aaron Randall can be contacted via phone (623) 248-4025.

Contact Information

Primary practice address
1515 W Deer Valley Rd Ste B106 Phoenix AZ 85027
Phone: (623) 248-4025
Fax: (602) 391-2617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Legal Medicine 209800000X 4105 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4105 Arizona

Profile Details

NPI number 1841360484
LBN Legal business name Degroot, Aaron Randall
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Aug 5th, 2020 - about 4 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 1841360484 NPPES
Arizona Other Z204694 MEDICARE
Arizona MEDICAID 945462 MEDICARE
Arizona Other 4105 MEDICARE

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