Mayberry, Aaron J

Mayberry, Aaron J is an sole proprietor health care provider with primary practice located at 7115 Prospect Pl Ne , Albuquerque NM 87110-4313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Mayberry, Aaron J can be contacted via phone (505) 888-3844.

Contact Information

Primary practice address
7115 Prospect Pl Ne Albuquerque NM 87110-4313
Fax: (505) 503-8275
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 200171 New Mexico

Profile Details

NPI number 1720011315
LBN Legal business name Mayberry, Aaron J
Credentials MD, FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated May 10th, 2012 - about 12 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 1720011315 NPPES
New Mexico MEDICAID 9553053

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