Provider Demographics
NPI:1588053268
Name:SCHIMBECK, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:SCHIMBECK
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 1:115 N 300 W
Mailing Address - Street 2:B200
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-2362
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:115 N 300 W
Practice Address - Street 2:B200
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-2362
Practice Address - Country:US
Practice Address - Phone:435-674-7421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-17
Last Update Date:2015-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker