Provider Demographics
NPI:1568640878
Name:JAMES H. ARONOVITZ, DO PLLC
Entity Type:Organization
Organization Name:JAMES H. ARONOVITZ, DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:ARONOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-756-4009
Mailing Address - Street 1:27301 SCHOENHERR
Mailing Address - Street 2:105
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088
Mailing Address - Country:US
Mailing Address - Phone:586-751-4009
Mailing Address - Fax:586-756-3855
Practice Address - Street 1:27301 SCHOENHERR
Practice Address - Street 2:105
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088
Practice Address - Country:US
Practice Address - Phone:586-751-4009
Practice Address - Fax:586-756-3855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJA11394207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherTAX ID
G30595Medicare UPIN