Provider Demographics
NPI:1730834607
Name:ENGLISH, AARON MICHAEL (PA-C)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:MICHAEL
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 LELA ST
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72901-4215
Mailing Address - Country:US
Mailing Address - Phone:479-208-2899
Mailing Address - Fax:
Practice Address - Street 1:2709 LELA ST
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-4215
Practice Address - Country:US
Practice Address - Phone:479-208-2899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4680363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant