Provider Demographics
NPI:1598009045
Name:MOLES, AARON (LP)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:MOLES
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 OHIO PIKE
Mailing Address - Street 2:SUITE 124 SOUTH
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-3375
Mailing Address - Country:US
Mailing Address - Phone:513-843-5126
Mailing Address - Fax:
Practice Address - Street 1:431 OHIO PIKE
Practice Address - Street 2:SUITE 124 SOUTH
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3375
Practice Address - Country:US
Practice Address - Phone:513-843-5126
Practice Address - Fax:513-843-5164
Is Sole Proprietor?:No
Enumeration Date:2012-11-23
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH304224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6724650001OtherPTAN