Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 411387 | VA |
Y | 1223D0001X | Dental Public Health | 411387 | VA |
N | 1223G0001X | General Practice | 3093 | LA |
N | 213EG0000X | General Practice | 3093 | LA |
NPI | 1538190814 |
---|---|
Provider Name | Dr. Jon Allan Aronson |
First Address | Nellysford, VA 22958-8044 |
Second Address | Nellysford, VA 22958-8044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 18/07/2007 |