Provider Demographics
NPI:1811584287
Name:HUMBERGER, AARON SCOTT
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:SCOTT
Last Name:HUMBERGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 OAK LN
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-1109
Mailing Address - Country:US
Mailing Address - Phone:419-307-7555
Mailing Address - Fax:
Practice Address - Street 1:1800 OAK LN
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-1109
Practice Address - Country:US
Practice Address - Phone:419-307-7555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker