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NPI Code Detail

MEDICARE: WILLIAM J. AESCHLIMAN M.D.

MEDICARE: WILLIAM J. AESCHLIMAN M.D.
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
1207Q00000XFamily Medicine Physician01026984AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
63937240015OTHERINMEDICARE DMEPOS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000239210 10OTHERUNITED HEALTHCARE
24204133OTHERAETNA
3000000111792OTHERINANTHEM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
51015OTHERINPHYSICIANS HEALTH PLAN

General Provider Information

NPI Number : 1528043056
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM J. AESCHLIMAN M.D.
Provider Business Mailing Address
First Line : 1234 E DUPONT RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-1545
Country : US
Telephone Number : 260-373-9700
Fax Number : 260-373-9740
Provider Business Practice Location Address
First Line : 10515 ILLINOIS RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46814-9182
Country : US
Telephone Number : 260-373-9200
Fax Number : 260-373-9219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 03/25/2013

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Directions to “ WILLIAM J. AESCHLIMAN M.D.” Practice Location

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