MEDICARE: AARON KEITH CHANDLER

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	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1902631864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON KEITH CHANDLER

Provider Business Mailing Address
First Line	:	1142 HIGHLAND AVE
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-4216
Country	:	US
Telephone Number	:	216-704-5564
Fax Number	:

Provider Business Practice Location Address
First Line	:	1142 HIGHLAND AVE
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-4216
Country	:	US
Telephone Number	:	216-704-5564
Fax Number	:

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

Provider Enumeration Date	:	09/02/2024
Last Update Date	:	09/03/2024

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Directions to “ AARON KEITH CHANDLER ” Practice Location

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