Provider Demographics
NPI:1386453884
Name:WALKER, AARON ROBERT SR
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:ROBERT
Last Name:WALKER
Suffix:SR
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 1:1723 E 81ST ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-3403
Mailing Address - Country:US
Mailing Address - Phone:216-470-6790
Mailing Address - Fax:216-785-9393
Practice Address - Street 1:1723 E 81ST ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-3403
Practice Address - Country:US
Practice Address - Phone:216-470-6790
Practice Address - Fax:216-785-9393
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRH213022172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver