Basic Information
| Provider Information | |||||||||
| NPI: | 1992915441 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AESCHLIMAN | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | ALLAN | ||||||||
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| Credential: | LPN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 531 ELMHURST | ||||||||
| Address2: | |||||||||
| City: | BARTLESVILLE | ||||||||
| State: | OK | ||||||||
| PostalCode: | 74006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9188761959 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 436 TED STEVENS WAY | ||||||||
| Address2: | BOX 43 | ||||||||
| City: | KOTZEBUE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 99752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9074423321 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | 5823 | AK | Y | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.