Israel, Aaron

Israel, Aaron is an individual health care provider with primary practice located at 1101B S 28Th Ave , Hattiesburg MS 39402-2610. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Israel, Aaron can be contacted via phone (601) 579-5117.

Contact Information

Primary practice address
1101B S 28Th Ave Hattiesburg MS 39402-2610
Phone: (601) 579-5117
Fax: (601) 261-0889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 80230 Mississippi

Profile Details

NPI number 1982091096
LBN Legal business name Israel, Aaron
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2015
Last updated Apr 10th, 2024 - about last year

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 1982091096 NPPES
Mississippi MEDICAID 09737211

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