MEDICARE: AIM SYSTEMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	ACA.200009	LA

General Provider Information

NPI Number	:	1518498948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIM SYSTEMS

Provider Business Mailing Address
First Line	:	4415 LAKE ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-4527
Country	:	US
Telephone Number	:	337-475-6334
Fax Number	:	337-475-6327

Provider Business Practice Location Address
First Line	:	4415 LAKE ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-4527
Country	:	US
Telephone Number	:	337-475-6334
Fax Number	:	337-475-6327

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. DINA L MILLER
Credential	:
Telephone Number	:	337-475-6334

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	03/27/2017

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