Provider Demographics
NPI:1477314466
Name:BETZ, AARON (PA-C)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:BETZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7970 COUNTY ROAD 5 2
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:OH
Mailing Address - Zip Code:43515-9722
Mailing Address - Country:US
Mailing Address - Phone:419-376-7428
Mailing Address - Fax:
Practice Address - Street 1:7970 COUNTY ROAD 5 2
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:OH
Practice Address - Zip Code:43515-9722
Practice Address - Country:US
Practice Address - Phone:419-376-7428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1171406363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant