Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 558-A | NH |
NPI | 1194708321 |
---|---|
Provider Name | Dr. Ronald J Aragona |
First Address | Manchester, NH 03104-2512 |
Second Address | Manchester, NH 03104-2512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 29/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0508607Y0NH01 | ANTHEM PIN (01) | NH |
4404379 | PROVIDER ID FOR UHC (01) | NH |
80358607 | (05) | NH |
NA1575 | PAYEE NUMBER HPHC (01) | NH |