Provider Demographics
NPI:1265279582
Name:SHOEMAKER, AARON BRUCE
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:BRUCE
Last Name:SHOEMAKER
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 1:18 COVENTRY DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1010
Mailing Address - Country:US
Mailing Address - Phone:316-559-1456
Mailing Address - Fax:
Practice Address - Street 1:18 COVENTRY DR
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1010
Practice Address - Country:US
Practice Address - Phone:316-559-1456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker