MEDICARE: AARON PATRICK HANSHAW D.O.

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	207Q00000X	Family Medicine Physician	009141	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831310770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON PATRICK HANSHAW D.O.

Provider Business Mailing Address
First Line	:	8131 CIERRA WAY
Second Line	:
City	:	WAYNESVILLE
State	:	OH
Zip	:	45068-8106
Country	:	US
Telephone Number	:	937-657-0268
Fax Number	:

Provider Business Practice Location Address
First Line	:	8940 KINGSRIDGE DR
Second Line	:	STE 103
City	:	DAYTON
State	:	OH
Zip	:	45458-1632
Country	:	US
Telephone Number	:	937-439-7430
Fax Number	:	937-439-7446

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	11/19/2015

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