Provider Demographics
NPI:1053053413
Name:ALDRICH, AARON JAMES
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:JAMES
Last Name:ALDRICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 SCHILLINGER RD. S
Mailing Address - Street 2:BUILDING #2, SUITE A
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695
Mailing Address - Country:US
Mailing Address - Phone:251-316-0690
Mailing Address - Fax:
Practice Address - Street 1:2344 SCHILLINGER RD. S
Practice Address - Street 2:BUILDING #2, SUITE A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695
Practice Address - Country:US
Practice Address - Phone:251-316-0690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2336237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2336OtherALABAMA HEARING INSTRUMENT DEALERS BOARD