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Contact Information

AARON W ETCHESON, D.M.D., M.S.
23609 N CENTENNIAL RD
JERSEYVILLE, IL62052-6286
 Phone: 618-530-1868
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for AARON W ETCHESON · (Male)

NPI Number 1346478062
Status Active
Credentials D.M.D., M.S.
Entity Individual
Enumeration date 07/01/2009
Last updated 07/01/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2000162047
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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