Provider Demographics
NPI:1518044999
Name:SOBOL, AARON L (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:L
Last Name:SOBOL
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 1:139 W FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3207
Mailing Address - Country:US
Mailing Address - Phone:724-437-2222
Mailing Address - Fax:724-437-9850
Practice Address - Street 1:139 W FAYETTE ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3207
Practice Address - Country:US
Practice Address - Phone:724-437-2222
Practice Address - Fax:724-437-9850
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073502L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008620190001Medicaid
PA42916OtherDAVIS VISION
PA392501OtherNATIONAL VISION ADMIN.
PAH40691OtherHEALTH AMERICA
PA1008620190002Medicaid
PA154013207OtherVISION SERVICE PLAN
PA309143OtherUPMC
PA73502OtherVISION BENEFIS OF AMERICA
PA204843OtherCOLE VISION
PA251892756OtherFIRST HEALTH
PA0017893OtherDORAL
PA125764OtherUNISON/UNISON ADVANTAGE
PA180043709OtherRAILROAD MEDICARE
PA925582OtherBLUE SHIELD
PA392502OtherNATIONAL VISION ADMIN
PA1529524OtherGATEWAY
PA251892756OtherCIGNA
PA251892756OtherAETNA
PA309143OtherUPMC
PAH40691Medicare UPIN