Provider Demographics
NPI:1972093003
Name:AARON, GERALD BERKELEY
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:BERKELEY
Last Name:AARON
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 1:2436 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43620-1007
Mailing Address - Country:US
Mailing Address - Phone:567-702-0329
Mailing Address - Fax:
Practice Address - Street 1:2436 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43620-1007
Practice Address - Country:US
Practice Address - Phone:567-702-0329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH323232440513376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty