Provider Demographics
NPI:1912756420
Name:PATTERSON, AARON MICHAEL
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:MICHAEL
Last Name:PATTERSON
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 1:2939 GREENSPIRE CIR
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-9103
Mailing Address - Country:US
Mailing Address - Phone:234-817-2446
Mailing Address - Fax:
Practice Address - Street 1:2939 GREENSPIRE CIR
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-9103
Practice Address - Country:US
Practice Address - Phone:234-817-2446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTJ897831347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle