Staley, Aaron
Staley, Aaron is an individual health care provider with primary practice located at 146 E Geneva Sq , Lake Geneva WI 53147-9694. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Staley, Aaron can be contacted via phone (262) 249-5000.Contact Information
Primary practice address
146 E Geneva Sq
Lake Geneva WI 53147-9694
Phone: (262) 249-5000
Fax: (262) 249-7143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 56961 | Wisconsin |
Profile Details
| NPI number | 1093073736 |
|---|---|
| LBN Legal business name | Staley, Aaron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2012 |
| Last updated | Dec 7th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093073736 | NPPES |
| Wisconsin | MEDICAID | 100024311 |
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