Provider Demographics
NPI:1902631864
Name:CHANDLER, AARON KEITH
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:KEITH
Last Name:CHANDLER
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 1:1142 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-4216
Mailing Address - Country:US
Mailing Address - Phone:216-704-5564
Mailing Address - Fax:
Practice Address - Street 1:1142 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-4216
Practice Address - Country:US
Practice Address - Phone:216-704-5564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)