Provider Demographics
NPI:1831310770
Name:HANSHAW, AARON PATRICK (DO)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:PATRICK
Last Name:HANSHAW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8131 CIERRA WAY
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45068-8106
Mailing Address - Country:US
Mailing Address - Phone:937-657-0268
Mailing Address - Fax:
Practice Address - Street 1:8940 KINGSRIDGE DR
Practice Address - Street 2:STE 103
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-1632
Practice Address - Country:US
Practice Address - Phone:937-439-7430
Practice Address - Fax:937-439-7446
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH009141207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2939404Medicaid