Etcheson, Aaron Wade

Etcheson, Aaron Wade is an individual health care provider with primary practice located at 23609 N Centennial Rd , Jerseyville IL 62052-6286. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Etcheson, Aaron Wade can be contacted via phone (618) 530-1868.

Contact Information

Primary practice address
23609 N Centennial Rd Jerseyville IL 62052-6286
Phone: (618) 530-1868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 2000162047 Missouri

Profile Details

NPI number 1346478062
LBN Legal business name Etcheson, Aaron Wade
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Jul 1st, 2009 - about 16 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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