Healthcare Provider Details

I. General information

NPI: 1447255393
Provider Name (Legal Business Name): SOFIA AESCHLIMANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 06/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 WHITESBURG DR SW STE 250
HUNTSVILLE AL
35802-1687
US

IV. Provider business mailing address

4700 WHITESBURG DR SW STE 250
HUNTSVILLE AL
35802-1687
US

V. Phone/Fax

Practice location:
  • Phone: 256-883-7031
  • Fax: 256-883-7032
Mailing address:
  • Phone: 256-883-7031
  • Fax: 256-883-7032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25841
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: