Provider Demographics
NPI:1497989180
Name:SHINKLE, AARON T (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:T
Last Name:SHINKLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 241348
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-1348
Mailing Address - Country:US
Mailing Address - Phone:334-288-7808
Mailing Address - Fax:334-288-8089
Practice Address - Street 1:660 MCQUEEN SMITH RD N STE E
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-7559
Practice Address - Country:US
Practice Address - Phone:334-288-2808
Practice Address - Fax:334-288-8089
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD30091208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL140166Medicaid
AL102I052146OtherMEDICARE PTAN
AL140166Medicaid