Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 01164086 | IN |
Y | 2086S0105X | Surgery of the Hand | 01064086 | IN |
NPI | 1750584249 |
---|---|
Provider Name | Aaron G Anderson |
First Address | Chesterton, IN 46304 |
Second Address | Chesterton, IN 46304-9658 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 22/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20086300 | (05) | IN |
BA9844893 | DEA (01) | IN |