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AER MEDICAL LLC NPI 1083171342


NPI Information

NPI: 1083171342
Provider Name: AER MEDICAL LLC

Former Legal Business Name: AER MEDICAL, LLC

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 02D2195629

Address:
291 N FIREWEED ST
SOLDOTNA, AK
ZIP 99669
Phone: (907) 262-4278
Get Directions

AER MEDICAL LLC is a geriatric medicine internal medicine in Soldotna, AK. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. AER MEDICAL LLC NPI is 1083171342. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Aer Medical, Llc.

The provider's business location address is:

291 N FIREWEED ST
SOLDOTNA, AK
ZIP 99669-540
Phone: (907) 262-4278
Fax: (907) 802-4530

The provider's authorized official is Michele Petterson .
The authorized official title is Billing Manager and has the following contact phone number (907) 313-8411.

The CLIA number assigned to this NPI record is 02D2195629 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2019 and was last updated on 10/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RG0300XInternal MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11112393OTHERALASKASTATE BUSINESS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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