Provider Demographics
NPI:1588665731
Name:AIELLO, JOSEPH M I (RCP)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:AIELLO
Suffix:I
Gender:M
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 SOMERSET SQ.
Mailing Address - Street 2:P.O. BOX 763
Mailing Address - City:SOMERSET
Mailing Address - State:OH
Mailing Address - Zip Code:43783
Mailing Address - Country:US
Mailing Address - Phone:740-743-2688
Mailing Address - Fax:740-743-2217
Practice Address - Street 1:108 SOMERSET SQUARE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:OH
Practice Address - Zip Code:43783
Practice Address - Country:US
Practice Address - Phone:740-743-2688
Practice Address - Fax:740-743-2217
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK89059964227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered