Provider Demographics
NPI:1295985075
Name:TOTH, AARON (BC-HIS ACA)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:TOTH
Suffix:
Gender:M
Credentials:BC-HIS ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30659 HOOVER RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-6537
Mailing Address - Country:US
Mailing Address - Phone:586-574-0074
Mailing Address - Fax:586-574-0081
Practice Address - Street 1:30659 HOOVER RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-6537
Practice Address - Country:US
Practice Address - Phone:586-574-0074
Practice Address - Fax:586-574-0081
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002870237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1437347341Medicaid